Healthcare Provider Details

I. General information

NPI: 1033042262
Provider Name (Legal Business Name): CAROLYNE & COMPANY HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6030 MISSION TRL APT 1
GRANGER IN
46530-4025
US

IV. Provider business mailing address

6030 MISSION TRL APT 1
GRANGER IN
46530-4025
US

V. Phone/Fax

Practice location:
  • Phone: 269-414-0044
  • Fax: 574-966-5406
Mailing address:
  • Phone: 269-414-0044
  • Fax: 574-966-5406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. TODD LONG
Title or Position: EXECUTIVE DIRECTOR/OWNER
Credential:
Phone: 269-414-0044