Provider Demographics
NPI:1629634555
Name:SYNERGY HOMECARE OF RICHMOND
Entity Type:Organization
Organization Name:SYNERGY HOMECARE OF RICHMOND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:DECKARD
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:765-993-0296
Mailing Address - Street 1:659 S A ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-5428
Mailing Address - Country:US
Mailing Address - Phone:765-939-2819
Mailing Address - Fax:855-306-6678
Practice Address - Street 1:659 S A ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-5428
Practice Address - Country:US
Practice Address - Phone:765-939-2819
Practice Address - Fax:855-306-6678
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EASTERN INDIANA HOME CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care