Provider Demographics
NPI:1720288160
Name:PERSONAL CARE CONCEPTS PLUS, INC.
Entity Type:Organization
Organization Name:PERSONAL CARE CONCEPTS PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:HEARN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-677-1719
Mailing Address - Street 1:239 E MAIN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:GAS CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46933-1457
Mailing Address - Country:US
Mailing Address - Phone:765-677-1719
Mailing Address - Fax:765-677-1720
Practice Address - Street 1:239 E MAIN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:GAS CITY
Practice Address - State:IN
Practice Address - Zip Code:46933-1457
Practice Address - Country:US
Practice Address - Phone:765-677-1719
Practice Address - Fax:765-677-1720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health