Provider Demographics
NPI:1407986946
Name:HOME CARE NETWORK, INC.
Entity Type:Organization
Organization Name:HOME CARE NETWORK, INC.
Other - Org Name:PEDIACTRIC NURSING SPECIALISTS OF HCN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:937-409-7071
Mailing Address - Street 1:1191 LYONS RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-1857
Mailing Address - Country:US
Mailing Address - Phone:800-600-3974
Mailing Address - Fax:937-813-1105
Practice Address - Street 1:8580 CEDAR PLACE DR STE 115C
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-8304
Practice Address - Country:US
Practice Address - Phone:800-600-3974
Practice Address - Fax:317-257-7356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100265060BOtherMEDICAID WAIVER
IN100265690AMedicaid
IN100265690AMedicaid