Provider Demographics
NPI:1013583533
Name:BE THERE HOME CARE, LLC
Entity Type:Organization
Organization Name:BE THERE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-308-0483
Mailing Address - Street 1:PO BOX 241264
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46224-9464
Mailing Address - Country:US
Mailing Address - Phone:317-627-4326
Mailing Address - Fax:317-342-5089
Practice Address - Street 1:7715 CRUYFF CIR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-2347
Practice Address - Country:US
Practice Address - Phone:317-627-4326
Practice Address - Fax:317-342-5089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-03
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care