Organization Active NPI

Home Care Network, Inc

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1063542595
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME CARE NETWORK, INC
Doing business as
Pediatric Nursing Specialists of HCN
Practice address
8580 Cedar Place Dr Ste 115a
Indianapolis, IN 46240-2379
Phone
(800) 622-4303
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kim King, RN
Title
Coo
Phone
(937) 409-7071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8580 Cedar Place Dr Ste 115a
Indianapolis, IN 46240-2379

Mailing address

1191 Lyons Rd
Dayton, OH 45458-1857
Phone (800) 600-3974

Other identifiers 2

IdentifierTypeStateIssuer
300034910OtherINMEDICAID WAIVER
300035030MedicaidIN

Other names 1

  • Pediatric Nursing Specialists of HCN Doing business as

National Provider Directory

National Provider Directory

Locations

6523 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 432-9699

731 E Main St
Ste 17E
Jackson, OH 45640
Phone (800) 600-3974

731 E Main St
Ste 18A
Jackson, OH 45640
Phone (740) 384-9616

731 E Main St
Ste 18B
Jackson, OH 45640
Phone (740) 688-4040

134 W South Boundary St
Ste G2
Perrysburg, OH 43551
Phone (419) 874-9008

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1063542595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 LYONS RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581857",
            "telephone_number": "800-600-3974",
            "fax_number": "937-813-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 CEDAR PLACE DR STE 115A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402379",
            "telephone_number": "800-622-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "937-409-7071",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "300034910",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300035030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Nursing Specialists of HCN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Nursing Specialists of HCN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.