Provider Demographics
NPI:1922101047
Name:CARESS HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:CARESS HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:219-933-8962
Mailing Address - Street 1:5930 S HOHMAN AVE
Mailing Address - Street 2:STE. 103
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46320-3050
Mailing Address - Country:US
Mailing Address - Phone:219-933-8960
Mailing Address - Fax:219-933-8962
Practice Address - Street 1:5930 S HOHMAN AVE
Practice Address - Street 2:STE. 103
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-3050
Practice Address - Country:US
Practice Address - Phone:219-933-8960
Practice Address - Fax:219-933-8962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
157574Medicare Oscar/Certification