Provider Demographics
NPI:1205229150
Name:INDACARE
Entity Type:Organization
Organization Name:INDACARE
Other - Org Name:IN YOUR HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KARIN
Authorized Official - Middle Name:LOIS
Authorized Official - Last Name:LAROCCA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:985-641-5083
Mailing Address - Street 1:636 GAUSE BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2007
Mailing Address - Country:US
Mailing Address - Phone:985-641-5083
Mailing Address - Fax:985-641-5087
Practice Address - Street 1:636 GAUSE BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2007
Practice Address - Country:US
Practice Address - Phone:985-641-5083
Practice Address - Fax:985-641-5087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care