Provider Demographics
NPI:1639967185
Name:PROSPECT CARE SERVICES
Entity type:Organization
Organization Name:PROSPECT CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARMARKE
Authorized Official - Middle Name:
Authorized Official - Last Name:GABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-795-1949
Mailing Address - Street 1:8440 WOODFIELD CROSSING BLVD STE 375
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-4361
Mailing Address - Country:US
Mailing Address - Phone:317-795-1949
Mailing Address - Fax:
Practice Address - Street 1:8440 WOODFIELD CROSSING BLVD STE 375
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-4361
Practice Address - Country:US
Practice Address - Phone:317-795-1949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health