Healthcare Provider Details

I. General information

NPI: 1285433458
Provider Name (Legal Business Name): NICARE HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6277 W KNIGHTSBRIDGE CT APT B
MCCORDSVILLE IN
46055-6162
US

IV. Provider business mailing address

6277 W KNIGHTSBRIDGE CT APT B
MCCORDSVILLE IN
46055-6162
US

V. Phone/Fax

Practice location:
  • Phone: 463-280-5605
  • Fax:
Mailing address:
  • Phone: 463-280-5605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. NICOLE TARES MCVEA
Title or Position: CEO/OWNER
Credential:
Phone: 463-280-5605