Provider Demographics
NPI:1902492614
Name:HATFIELD HOMECARE
Entity Type:Organization
Organization Name:HATFIELD HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:S
Authorized Official - Last Name:HATFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:989-280-9944
Mailing Address - Street 1:1822 BURNHAM ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-1115
Mailing Address - Country:US
Mailing Address - Phone:989-280-9944
Mailing Address - Fax:
Practice Address - Street 1:1822 BURNHAM ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-1115
Practice Address - Country:US
Practice Address - Phone:989-280-9944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health