Provider Demographics
NPI:1790048049
Name:CARE CENTER INC.
Entity Type:Organization
Organization Name:CARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:NONE
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-286-7034
Mailing Address - Street 1:23 MOTIF BLVD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-1065
Mailing Address - Country:US
Mailing Address - Phone:317-286-7034
Mailing Address - Fax:317-524-1340
Practice Address - Street 1:23 MOTIF BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1065
Practice Address - Country:US
Practice Address - Phone:317-286-7034
Practice Address - Fax:317-524-1340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200473260Medicaid