Provider Demographics
NPI:1285663369
Name:C & A HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:C & A HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANEKWE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MPA
Authorized Official - Phone:219-938-1736
Mailing Address - Street 1:6105 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46403-2470
Mailing Address - Country:US
Mailing Address - Phone:219-938-1736
Mailing Address - Fax:219-938-1738
Practice Address - Street 1:6105 MILLER AVE
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46403-2470
Practice Address - Country:US
Practice Address - Phone:219-938-1736
Practice Address - Fax:219-938-1738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN157535Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER