Erica Marie Broaders
Individual provider Active NPI In Home Supportive Care Agency · Camby, IN
NPI 1245084573 · NPPES record last updated Apr 15, 2024
Key facts
- NPI
- 1245084573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- 24-016903-1 (IN)
- Practice address
- 8337 Sansa St
Camby, IN 46113-8753 - Phone
- (219) 999-4447
- NPI assigned
- Apr 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-016903-1 | IN | MD | In Home Supportive Care Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 24-016903-1 | IN | Yes |
Addresses
Primary practice location
8337 Sansa St
Camby, IN 46113-8753
Mailing address
8337 Sansa St
Camby, IN 46113-8753
Phone (219) 999-4447
Other providers in Camby, IN
- Ann Michelle Bonness
- Dianna L Boyer
- Rebecca Breitenstein
- Brian Mitchell LLC
- Brighter Way Care LLC
- Bethany Brown
- Camby Low Cost Pharmacy
- Camby Physical Medicine Inc
- Gabriella Marie Carr
- Shradha Choudhary
All providers in Camby, IN · In Home Supportive Care Agency in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.