Provider Demographics
NPI:1568496776
Name:CARING FOR WOMEN'S HEALTH LLC
Entity Type:Organization
Organization Name:CARING FOR WOMEN'S HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-893-3131
Mailing Address - Street 1:107 N STATE ROAD 135 STE 102
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-1352
Mailing Address - Country:US
Mailing Address - Phone:317-893-3131
Mailing Address - Fax:317-893-2445
Practice Address - Street 1:107 N STATE ROAD 135
Practice Address - Street 2:SUITE 102
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-1351
Practice Address - Country:US
Practice Address - Phone:317-893-3131
Practice Address - Fax:317-893-3141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01037737A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200864180Medicaid
IN247030Medicare PIN