MEDICARE: HOME CARE SERVICES, 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	06-004060-1	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578528790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE SERVICES, INC

Provider Business Mailing Address
First Line	:	6202 CONSTITUTION DR
Second Line	:	SUITE C
City	:	FT WAYNE
State	:	IN
Zip	:	46804-1583
Country	:	US
Telephone Number	:	260-459-2917
Fax Number	:	260-459-2894

Provider Business Practice Location Address
First Line	:	6202 CONSTITUTION DR
Second Line	:	SUITE C
City	:	FT WAYNE
State	:	IN
Zip	:	46804-1583
Country	:	US
Telephone Number	:	260-459-2917
Fax Number	:	260-459-2894

Authorized Official
Title or Position	:	PRESIDENT/ ADMINISTRATOR
Name	:	MRS. CHRISTI C. EVERSON RN
Credential	:	RN
Telephone Number	:	260-459-2917

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	11/17/2011

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Directions to “HOME CARE SERVICES, INC ” Practice Location

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