Provider Demographics
NPI:1356881155
Name:LECARE & ASSOCIATES, INC.
Entity type:Organization
Organization Name:LECARE & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAFUZE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:317-322-1300
Mailing Address - Street 1:8647 BRINWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1922
Mailing Address - Country:US
Mailing Address - Phone:317-322-1300
Mailing Address - Fax:219-237-9869
Practice Address - Street 1:6512 EAST WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-6633
Practice Address - Country:US
Practice Address - Phone:317-322-1300
Practice Address - Fax:219-237-9869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0500625A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200219750Medicaid