Healthcare Provider Details

I. General information

NPI: 1396748042
Provider Name (Legal Business Name): CARE HCA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 08/22/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3536 WASHINGTON BLVD
INDIANAPOLIS IN
46205-3719
US

IV. Provider business mailing address

4640 W. JEFFERSON BLVD
INDIANAPOLIS IN
46804
US

V. Phone/Fax

Practice location:
  • Phone: 317-252-5958
  • Fax: 317-726-5223
Mailing address:
  • Phone: 260-441-8302
  • Fax: 260-441-8502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number005941
License Number StateIN

VIII. Authorized Official

Name: MR. MARK SQUIRES
Title or Position: COO
Credential:
Phone: 260-441-8302