Provider Demographics
NPI:1790977551
Name:MEDCARE HOME HEALTH
Entity Type:Organization
Organization Name:MEDCARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-541-0546
Mailing Address - Street 1:2511 E 46TH ST
Mailing Address - Street 2:SUITE Q13
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-2460
Mailing Address - Country:US
Mailing Address - Phone:317-541-0546
Mailing Address - Fax:317-541-0687
Practice Address - Street 1:2511 E 46TH ST
Practice Address - Street 2:SUITE Q13
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-2460
Practice Address - Country:US
Practice Address - Phone:317-541-0546
Practice Address - Fax:317-541-0687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health