Healthcare Provider Details

I. General information

NPI: 1891744991
Provider Name (Legal Business Name): ABC HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 W CARMEL DR
CARMEL IN
46032-2526
US

IV. Provider business mailing address

138 W CARMEL DR
CARMEL IN
46032-2526
US

V. Phone/Fax

Practice location:
  • Phone: 317-846-4704
  • Fax: 317-848-3121
Mailing address:
  • Phone: 317-846-4704
  • Fax: 317-848-3121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIN

VIII. Authorized Official

Name: V A ATKINS
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 317-846-4704