Provider Demographics
NPI:1114693991
Name:EPIC HOME CARE AGENCY.LLC.
Entity Type:Organization
Organization Name:EPIC HOME CARE AGENCY.LLC.
Other - Org Name:EPIC HOME CARE AGENCY.LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OSWALD
Authorized Official - Middle Name:
Authorized Official - Last Name:ULYSSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-701-5866
Mailing Address - Street 1:420 NORTH WHITERIVER PARKWAY
Mailing Address - Street 2:SUITE 412
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222
Mailing Address - Country:US
Mailing Address - Phone:317-701-5866
Mailing Address - Fax:
Practice Address - Street 1:420 NORTH WHITERIVER PARKWAY
Practice Address - Street 2:SUITE 412
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222
Practice Address - Country:US
Practice Address - Phone:317-701-5866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN87188119OtherHOME CARE