Provider Demographics
NPI:1659468817
Name:PERSONAL CARE CONCEPTS, INC
Entity Type:Organization
Organization Name:PERSONAL CARE CONCEPTS, INC
Other - Org Name:ABLE HANDS HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:TIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-662-3864
Mailing Address - Street 1:3802 S ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46953-5058
Mailing Address - Country:US
Mailing Address - Phone:765-662-3864
Mailing Address - Fax:765-662-3868
Practice Address - Street 1:3802 S ADAMS ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46953-5058
Practice Address - Country:US
Practice Address - Phone:765-662-3864
Practice Address - Fax:765-662-3868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN157588Medicare Oscar/Certification
IN15-7588Medicare PIN