MEDICARE: INDIANA CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1124584164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDIANA CARE INC

Provider Business Mailing Address
First Line	:	3414 W FOX RIDGE LN
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47304-5203
Country	:	US
Telephone Number	:	765-617-0761
Fax Number	:

Provider Business Practice Location Address
First Line	:	3414 W FOX RIDGE LN
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47304-5203
Country	:	US
Telephone Number	:	765-617-0761
Fax Number	:

Authorized Official
Title or Position	:	FRANCHISE OWNER
Name	:	JOSEPH WRIN
Credential	:
Telephone Number	:	765-643-5200

Provider Enumeration Date	:	02/14/2019
Last Update Date	:	02/14/2019

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