MEDICARE: CHAD HUBBARD I

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	250194301	IN

General Provider Information

NPI Number	:	1518802743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAD HUBBARD I

Provider Business Mailing Address
First Line	:	120 E MARKET ST # 1219
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-3250
Country	:	US
Telephone Number	:	317-296-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 E MARKET ST # 1219
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-3250
Country	:	US
Telephone Number	:	317-296-1111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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Directions to “ CHAD HUBBARD I ” Practice Location

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