| Organization Name: | CONWELL HOME CARE SERVICES LLC |
| NPI Number: | 1699054080 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRIA CONWELL (PRESIDENT/CEO) |
| Mailing Address: | 5835 Jessica Ave Portage |
| State: | IN US |
| Postal Code: | 463681662 |
| Phone Number: | 2197967035 |
| Fax Number: | |
| NPI Enumeration Date: | 08/16/2011 |
| NPI Last Update Date: | 08/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |