# AT HOME FOR YOU

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1669792370
- **Authorized official:** MR. JIMMY DALE GRIMES ADMINISTRATOR (PRESIDENT/CEO)
- **Authorized official phone:** (574) 855-1536

## Contact information

- **Practice address:** 16462 SHAMROCK DR, MISHAWAKA, IN 46544-6491
- **Practice address phone:** (574) 855-1536
- **Practice address fax:** (574) 855-1099
- **Mailing address:** 16462 SHAMROCK DR, MISHAWAKA, IN 46544-6491
- **Mailing address phone:** (574) 855-1536
- **Mailing address fax:** (574) 855-1099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 10-012231-1 | IN | Yes |

## Other

- **Enumeration date:** 06/03/2010
- **Last updated:** 06/03/2010