MEDICARE: CARE HCA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	005941	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396748042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE HCA, INC.

Provider Business Mailing Address
First Line	:	4640 W. JEFFERSON BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46804
Country	:	US
Telephone Number	:	260-441-8302
Fax Number	:	260-441-8502

Provider Business Practice Location Address
First Line	:	3536 WASHINGTON BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-3719
Country	:	US
Telephone Number	:	317-252-5958
Fax Number	:	317-726-5223

Authorized Official
Title or Position	:	COO
Name	:	MR. MARK SQUIRES
Credential	:
Telephone Number	:	260-441-8302

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/22/2025

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Directions to “CARE HCA, INC. ” Practice Location

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