Provider Demographics
NPI:1598895914
Name:HOME CARE NETWORK, INC.
Entity Type:Organization
Organization Name:HOME CARE NETWORK, INC.
Other - Org Name:MATERNAL CHILD HEALTH OF HOME CARE NETWORK, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKUSIC
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:937-435-1142
Mailing Address - Street 1:190A EAST SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458
Mailing Address - Country:US
Mailing Address - Phone:937-435-1142
Mailing Address - Fax:937-435-3374
Practice Address - Street 1:130 E WILSON BRIDGE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2327
Practice Address - Country:US
Practice Address - Phone:614-781-7809
Practice Address - Fax:614-781-8809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2451127Medicaid
OH2451127Medicaid