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NPI Code Detail

MEDICARE: ENTYRE CARE INDIANA LLC

MEDICARE: ENTYRE CARE INDIANA LLC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1427931294
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENTYRE CARE INDIANA LLC
Provider Business Mailing Address
First Line : 711 ATLANTIC AVE FL 6
Second Line :
City : BOSTON
State : MA
Zip : 02111-2809
Country : US
Telephone Number : 617-320-2253
Fax Number :
Provider Business Practice Location Address
First Line : 334 N SENATE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46204-1708
Country : US
Telephone Number : 617-320-2253
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MR. BENEDIKT REIGER
Credential :
Telephone Number : 617-320-2253
Provider Enumeration Date : 07/29/2025
Last Update Date : 07/29/2025

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Directions to “ENTYRE CARE INDIANA LLC ” Practice Location

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