Healthcare Provider Details

I. General information

NPI: 1376849851
Provider Name (Legal Business Name): SYNCARE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2011
Last Update Date: 02/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8777 PURDUE RD
INDIANAPOLIS IN
46268-3125
US

IV. Provider business mailing address

8777 PURDUE RD SUITE 300
INDIANAPOLIS IN
46268-3125
US

V. Phone/Fax

Practice location:
  • Phone: 317-496-3552
  • Fax: 317-755-4012
Mailing address:
  • Phone: 317-496-3552
  • Fax: 317-755-4012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number200267290A
License Number StateIN

VIII. Authorized Official

Name: MISS PAMELA JEAN HATCHER
Title or Position: REGISTERED NURSE
Credential:
Phone: 317-496-3552