Healthcare Provider Details

I. General information

NPI: 1629953690
Provider Name (Legal Business Name): ACCESSICARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4692 DUFFY RD
FLOYDS KNOBS IN
47119-9453
US

IV. Provider business mailing address

3374 NEW HALL RD
GREENBRIER TN
37073-4872
US

V. Phone/Fax

Practice location:
  • Phone: 812-725-3843
  • Fax:
Mailing address:
  • Phone: 812-725-3708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. JONATHAN BAKER
Title or Position: OWNER
Credential:
Phone: 812-914-8702