Provider Demographics
NPI:1558020404
Name:WE ARE FAMILY HOME CARE INC.
Entity Type:Organization
Organization Name:WE ARE FAMILY HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BASILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-669-5730
Mailing Address - Street 1:6408 PERSHING RD
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-3461
Mailing Address - Country:US
Mailing Address - Phone:219-669-5730
Mailing Address - Fax:855-449-1892
Practice Address - Street 1:6408 PERSHING RD
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-3461
Practice Address - Country:US
Practice Address - Phone:219-669-5730
Practice Address - Fax:855-449-1892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN21-013630-1OtherINDIANA STATE DEPARTMENT OF HEALTH