Provider Demographics
NPI:1346922929
Name:CARE FORCE ONE STRUCTURED FAMILY CARE LLC
Entity Type:Organization
Organization Name:CARE FORCE ONE STRUCTURED FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPPES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-777-1411
Mailing Address - Street 1:2440 BROADWAY ST STE B
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-1611
Mailing Address - Country:US
Mailing Address - Phone:855-777-1411
Mailing Address - Fax:
Practice Address - Street 1:2440 BROADWAY ST STE B
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-1611
Practice Address - Country:US
Practice Address - Phone:855-777-1411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care