# HOUSE OF PIECES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275138943
- **Authorized official:** NICOLE DION ENDRES (OWNER)
- **Authorized official phone:** (419) 982-2960

## Contact information

- **Practice address:** 109 N MAIN ST STE 209, MANSFIELD, OH 44902-7669
- **Practice address phone:** (419) 982-2960
- **Practice address fax:** (567) 560-2032
- **Mailing address:** 109 N MAIN ST STE 209, MANSFIELD, OH 44902-7669
- **Mailing address phone:** (419) 982-2960
- **Mailing address fax:** (567) 560-2032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251X00000X | Supports Brokerage Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | — | — |
| 347C00000X | Private Vehicle | — | — | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376J00000X | Homemaker | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2020
- **Last updated:** 12/01/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000263838 | SUPPLIER \# | — |
| 05 | — | 0365527 | — | OH |
| 01 | — | 1701260 | CONTRACT PROVIDER \# DODD | OH |