MEDICARE: C & A HOME HEALTH 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	251E00000X	Home Health Agency		IN

General Provider Information

NPI Number	:	1285663369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C & A HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	6105 MILLER AVE
Second Line	:
City	:	GARY
State	:	IN
Zip	:	46403-2470
Country	:	US
Telephone Number	:	219-938-1736
Fax Number	:	219-938-1738

Provider Business Practice Location Address
First Line	:	6105 MILLER AVE
Second Line	:
City	:	GARY
State	:	IN
Zip	:	46403-2470
Country	:	US
Telephone Number	:	219-938-1736
Fax Number	:	219-938-1738

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. ANGELA ANEKWE
Credential	:	BSN, MPA
Telephone Number	:	219-938-1736

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	08/22/2020

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