Healthcare Provider Details

I. General information

NPI: 1114927746
Provider Name (Legal Business Name): AMERICARE LIVING CENTER OF HARTFORD CITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N MILL ST
HARTFORD CITY IN
47348
US

IV. Provider business mailing address

421 S WALNUT ST
MUNCIE IN
47305-2459
US

V. Phone/Fax

Practice location:
  • Phone: 765-348-2273
  • Fax: 765-348-2279
Mailing address:
  • Phone: 765-282-2889
  • Fax: 765-281-5530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEENA K SANDEFUR
Title or Position: CORPORATE A/R MANAGER
Credential:
Phone: 765-282-2889