MEDICARE: IRISH HOME 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	060058361	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	:	1609927243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IRISH HOME CARE, INC.

Provider Business Mailing Address
First Line	:	3010 LYNDON B JOHNSON FWY STE 1100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-2712
Country	:	US
Telephone Number	:	800-379-1600
Fax Number	:	903-537-8420

Provider Business Practice Location Address
First Line	:	7030 POINTE INVERNESS WAY STE 230
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-7925
Country	:	US
Telephone Number	:	866-437-7770
Fax Number	:	877-395-0055

Authorized Official
Title or Position	:	COMPLIANCE PRIVACY & SAFETY OFFICER
Name	:	KATIE MONASTIERE
Credential	:
Telephone Number	:	800-379-1600

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	04/29/2025

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Directions to “IRISH HOME CARE, INC. ” Practice Location

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