Provider Demographics
NPI:1376850438
Name:ADVOCATES PERSONAL CARE LLC
Entity Type:Organization
Organization Name:ADVOCATES PERSONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:PECAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-580-0700
Mailing Address - Street 1:9135 N. MERIDIAN ST.
Mailing Address - Street 2:SUITE B-4
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1816
Mailing Address - Country:US
Mailing Address - Phone:317-580-0700
Mailing Address - Fax:317-843-2332
Practice Address - Street 1:9135 N. MERIDIAN ST.
Practice Address - Street 2:SUITE B-4
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1816
Practice Address - Country:US
Practice Address - Phone:317-580-0700
Practice Address - Fax:317-843-2332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN100123671253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care