Provider Demographics
NPI:1124584164
Name:INDIANA CARE INC
Entity Type:Organization
Organization Name:INDIANA CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FRANCHISE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-643-5200
Mailing Address - Street 1:3414 W FOX RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-5203
Mailing Address - Country:US
Mailing Address - Phone:765-617-0761
Mailing Address - Fax:
Practice Address - Street 1:3414 W FOX RIDGE LN
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-5203
Practice Address - Country:US
Practice Address - Phone:765-617-0761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care