Provider Demographics
NPI:1821663030
Name:WE CARE HOME HEALTH AGENCY. LLC
Entity Type:Organization
Organization Name:WE CARE HOME HEALTH AGENCY. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUSOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-595-0702
Mailing Address - Street 1:1037 SHEFFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-1048
Mailing Address - Country:US
Mailing Address - Phone:219-595-0702
Mailing Address - Fax:219-595-0838
Practice Address - Street 1:1037 SHEFFIELD AVE
Practice Address - Street 2:
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311-1048
Practice Address - Country:US
Practice Address - Phone:219-595-0702
Practice Address - Fax:219-595-0838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health