Provider Demographics
NPI:1073298410
Name:HOOSIER HOSPICE CARE LLC
Entity Type:Organization
Organization Name:HOOSIER HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GURJEET
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:463-221-2137
Mailing Address - Street 1:8445 KEYSTONE XING STE 280
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-4318
Mailing Address - Country:US
Mailing Address - Phone:463-221-2137
Mailing Address - Fax:463-221-2824
Practice Address - Street 1:8445 KEYSTONE XING STE 280
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-4318
Practice Address - Country:US
Practice Address - Phone:463-221-2137
Practice Address - Fax:463-221-2824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based