Healthcare Provider Details

I. General information

NPI: 1295164119
Provider Name (Legal Business Name): DDEUTSCH HOMECARE , INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2013
Last Update Date: 08/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 N EMERSON AVE SUITE #300
GREENWOOD IN
46143-6449
US

IV. Provider business mailing address

48 N EMERSON AVE SUITE #300
GREENWOOD IN
46143-6449
US

V. Phone/Fax

Practice location:
  • Phone: 317-215-0600
  • Fax: 317-215-0688
Mailing address:
  • Phone: 317-215-0600
  • Fax: 317-215-0688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number130123311
License Number StateIN

VIII. Authorized Official

Name: DON DEUTSCH
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 317-215-0600