Healthcare Provider Details

I. General information

NPI: 1306774831
Provider Name (Legal Business Name): INDEX CARE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7317 EDEN BROOK DR APT 207
COLUMBIA MD
21046-1767
US

IV. Provider business mailing address

7317 EDEN BROOK DR APT 207
COLUMBIA MD
21046-1767
US

V. Phone/Fax

Practice location:
  • Phone: 667-200-5901
  • Fax:
Mailing address:
  • Phone: 667-200-5901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: CHARLES GABA
Title or Position: DIRECTOR
Credential:
Phone: 240-906-0569