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General NPI Number Information
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NPI Number | 1578630158
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Entity Type | Organization
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Legal Business Name | INDIANAPOLIS HOME CARE, INC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 373 MERIDIAN PARKE LN STE A1
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City | GREENWOOD
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State | IN
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Zip | 46142-9400
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Country | US
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Telephone | 317-755-1687
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Fax | 317-992-2266
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Provider Business Mailing Address
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Address Line | 373 MERIDIAN PARKE LN STE A1
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City | GREENWOOD
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State | IN
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Zip | 46142-9400
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Country | US
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Telephone | 317-755-1687
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Fax | 317-992-2266
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Authorized Official
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Title or Position | CEO
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Name | THOMAS J DIMARCO
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Credential |
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Telephone | 614-436-9404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 07-006364-1
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License Number State | IN
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