Provider Demographics
NPI:1205867215
Name:CAL HOMECARE SERVICES, INC
Entity Type:Organization
Organization Name:CAL HOMECARE SERVICES, INC
Other - Org Name:CARE-A-LOT HOMECARE SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-289-5447
Mailing Address - Street 1:3405 E MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47302-4800
Mailing Address - Country:US
Mailing Address - Phone:765-289-5447
Mailing Address - Fax:765-289-5877
Practice Address - Street 1:3405 E MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47302-4800
Practice Address - Country:US
Practice Address - Phone:765-289-5447
Practice Address - Fax:765-289-5877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06-004565-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200542860AMedicaid
IN200524720AMedicaid
IN157564Medicare Oscar/Certification