Provider Demographics
NPI:1316387111
Name:IN HOMECARE NETWORK CENTRAL, LLC
Entity Type:Organization
Organization Name:IN HOMECARE NETWORK CENTRAL, LLC
Other - Org Name:ANGELS OF MERCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VP ADMINISTRATION
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:T
Authorized Official - Last Name:LYLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-891-1044
Mailing Address - Street 1:9510 ORMSBY STATION RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-4081
Mailing Address - Country:US
Mailing Address - Phone:502-891-1000
Mailing Address - Fax:502-891-8083
Practice Address - Street 1:973 EMERSON PKWY
Practice Address - Street 2:SUITE D
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-6906
Practice Address - Country:US
Practice Address - Phone:317-585-5730
Practice Address - Fax:317-585-5731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN157566Medicare Oscar/Certification