Provider Demographics
NPI:1922263664
Name:NIGHTINGALE HOSPICE CARE INC.
Entity Type:Organization
Organization Name:NIGHTINGALE HOSPICE CARE INC.
Other - Org Name:N/A
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEV
Authorized Official - Middle Name:N/A
Authorized Official - Last Name:BRAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-334-7777
Mailing Address - Street 1:1036 S RANGE LINE RD
Mailing Address - Street 2:N/A
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2544
Mailing Address - Country:US
Mailing Address - Phone:317-334-7777
Mailing Address - Fax:
Practice Address - Street 1:1036 S RANGE LINE RD
Practice Address - Street 2:N/A
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2544
Practice Address - Country:US
Practice Address - Phone:317-334-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME CARE PROVIDERS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-22
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based