=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033042262
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAROLYNE & COMPANY HOME HEALTHCARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/06/2026
-----------------------------------------------------
Last Update Date | 06/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6030 MISSION TRL APT 1
-----------------------------------------------------
City | GRANGER
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46530-4025
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 269-414-0044
-----------------------------------------------------
Fax | 574-966-5406
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6030 MISSION TRL APT 1
-----------------------------------------------------
City | GRANGER
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46530-4025
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 269-414-0044
-----------------------------------------------------
Fax | 574-966-5406
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR/OWNER
-----------------------------------------------------
Name | MR. TODD LONG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 269-414-0044
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------