Healthcare Provider Details

I. General information

NPI: 1386052975
Provider Name (Legal Business Name): CAREGIVER STAFFING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2014
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 W 84TH DR
MERRILLVILLE IN
46410-6247
US

IV. Provider business mailing address

433 W 84TH DR
MERRILLVILLE IN
46410-6247
US

V. Phone/Fax

Practice location:
  • Phone: 219-924-0200
  • Fax: 888-202-0375
Mailing address:
  • Phone: 219-924-0200
  • Fax: 888-202-0375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TRACY L OVERLA
Title or Position: PRESIDENT
Credential:
Phone: 219-924-0200