Care At Home Llc

LBN: Care At Home Llc
Care At Home Llc is an health care organization with primary practice located at 717 Washington Park Blvd , Michigan City IN 46360-2056. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as the primary health care specialty. Care At Home Llc can be contacted via phone (219) 229-1630, or through Woodard, Raelonda M via phone (219) 229-1630.

Contact Information

Primary practice address
717 Washington Park Blvd Michigan City IN 46360-2056
Phone: (219) 229-1630
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Woodard, Raelonda M FNP-BC
Phone: (219) 229-1630

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1164984597
LBN Legal business name Care At Home Llc
DBA Doing business as
Authorized official Woodard, Raelonda M FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2019
Last updated Apr 4th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164984597 NPPES
Indiana MEDICAID 1386960599

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