Healthcare Provider Details

I. General information

NPI: 1235889023
Provider Name (Legal Business Name): CARING FOR HOOSIERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 03/25/2022
Certification Date: 03/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 ELKHART RD STE C
GOSHEN IN
46526-1118
US

IV. Provider business mailing address

916 SW 17TH ST STE 204
REDMOND OR
97756-2572
US

V. Phone/Fax

Practice location:
  • Phone: 574-538-4969
  • Fax:
Mailing address:
  • Phone: 541-238-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ADRIAN SIEGMANN
Title or Position: CEO
Credential:
Phone: 541-238-7500