Organization Active NPI

Care HCA, Inc.

Doing business as Caregivers

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1396748042
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
005941 Issued in IN
Legal business name
CARE HCA, INC.
Doing business as
Caregivers
Practice address
3536 Washington Blvd
Indianapolis, IN 46205-3719
Phone
(317) 252-5958
Fax
(317) 726-5223
NPI assigned
May 24, 2005
Last updated
Aug 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Mr. Mark Squires
Title
Coo
Phone
(260) 441-8302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 005941 IN Primary

Addresses

Primary practice location

3536 Washington Blvd
Indianapolis, IN 46205-3719

Mailing address

4640 W. Jefferson Blvd
Indianapolis, IN 46804
Phone (260) 441-8302

Other identifiers 2

IdentifierTypeStateIssuer
100108840AOtherNEMEDICAID WAIVER
100265760AMedicaidIN

Other names 1

  • Caregivers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080221000098 IN Part A Provider - Home Health Agency 4981788510 Practice locations: Indianapolis, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396748042. Details of each certification follow.

Home health agency certification: CCN 157230

Legal name
CAREGIVERS, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 1992
Last certification
Sep 15, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
3536 Washington Blvd
Indianapolis, IN 46205-3719
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Caregivers, IncCCN 157230 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Apr 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0887322Caregivers Inc3536 Washington Blvd, Indianapolis, IN 46205Certificate of waiverJun 8, 2028

National Provider Directory

National Provider Directory

Locations

3536 Washington Blvd
Indianapolis, IN 46205
Phone (317) 252-5958

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nady Gabriel Individual 5% Or Greater Direct Ownership Interest Oct 26, 2006
Corporate Director Oct 26, 2006
W-2 Managing Employee Oct 26, 2006
Fadi Abdallah Individual 5% Or Greater Direct Ownership Interest Oct 21, 2014 72%
Corporate DirectorBoard Member Oct 21, 2014 72%
Bradley Watkins Individual Corporate OfficerBoard Secretary Treasurer Oct 21, 2014 1%
Corporate DirectorBoard Secretary, Treasurer Oct 21, 2014 1%
Operational/Managerial ControlChief Financial Officer Oct 21, 2014 1%
Mark Long Individual 5% Or Greater Direct Ownership Interest Jan 10, 2024 100%
Care HCA, Inc. Organization, Indianapolis, IN 5% Or Greater Direct Ownership Interest Jan 10, 2024 100%
Claudia Chavis Individual 5% Or Greater Direct Ownership Interest Apr 1, 1992
Corporate Director Apr 1, 1992

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1396748042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 W. JEFFERSON BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46804",
            "telephone_number": "260-441-8302",
            "fax_number": "260-441-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 WASHINGTON BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053719",
            "telephone_number": "317-252-5958",
            "fax_number": "317-726-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE HCA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "260-441-8302",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "005941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "100108840A",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100265760A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caregivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.