CARE GROUP LLC

Provider Demographics

• NPI: 1649220195
• Name: CARE GROUP LLC
• Entity Type: Organization
• Organization Name: CARE GROUP LLC
• Other - Org Name: THE CARE GROUP LLC
• Other - Org Type: Other Name
• Authorized Official - Title/Position: EXECUTIVE VICE PRESIDENT
• Authorized Official - Prefix: MS
• Authorized Official - First Name: LANA
• Authorized Official - Middle Name: S
• Authorized Official - Last Name: LEHMAN
• Authorized Official - Phone: 317-338-6061
• Mailing Address - Street 1: 8333 NAAB RD
• Mailing Address - Street 2: SUITE 400
• Mailing Address - City: INDIANAPOLIS
• Mailing Address - State: IN
• Mailing Address - Zip Code: 46260-1992
• Mailing Address - Country: US
• Mailing Address - Phone: 317-338-6666
• Mailing Address - Fax: 317-338-6066
• Practice Address - Street 1: 8333 NAAB RD
• Practice Address - Street 2: SUITE 400
• Practice Address - City: INDIANAPOLIS
• Practice Address - State: IN
• Practice Address - Zip Code: 46260-1992
• Practice Address - Country: US
• Practice Address - Phone: 317-338-6666
• Practice Address - Fax: 317-338-6066
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-12
• Last Update Date: 2009-07-01

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine	Cardiovascular Disease	Group - Multi-Specialty
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	207RC0001X	Allopathic & Osteopathic Physicians	Internal Medicine	Clinical Cardiac Electrophysiology	Group - Multi-Specialty
No	207RE0101X	Allopathic & Osteopathic Physicians	Internal Medicine	Endocrinology, Diabetes & Metabolism	Group - Multi-Specialty
No	207RH0003X	Allopathic & Osteopathic Physicians	Internal Medicine	Hematology & Oncology	Group - Multi-Specialty
No	207RI0011X	Allopathic & Osteopathic Physicians	Internal Medicine	Interventional Cardiology	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IN	100064430	Medicaid
IN	100060960	Medicaid
IN	200268290	Medicaid
IN	145660	Medicare ID - Type Unspecified	DMI-FP
IN	898190	Medicare ID - Type Unspecified
IN	200268290	Medicaid
IN	100060960	Medicaid
IN	679410	Medicare ID - Type Unspecified	HMS
IN	906160	Medicare ID - Type Unspecified	LEWIS
IN	322980	Medicare ID - Type Unspecified	ESC
IN	673720	Medicare ID - Type Unspecified	MERID FP
IN	100064430	Medicaid
IN	898220	Medicare ID - Type Unspecified	NSIM
IN	188470	Medicare ID - Type Unspecified	DCI
IN	898210	Medicare ID - Type Unspecified	MAM
IN	305430	Medicare ID - Type Unspecified	TCG AND/GELFMAN
IN	319180	Medicare ID - Type Unspecified	DMC
IN	367450	Medicare ID - Type Unspecified	TCG KOKOMO
IN	296820	Medicare ID - Type Unspecified	HC MARION
IN	306210	Medicare ID - Type Unspecified	TCG AND