Home Care Home Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

090121831 Issued in IN

Legal business name

HOME CARE HOME INC.

Practice address

975 Industrial Dr
Madison, IN 47250-3904

Phone

(812) 574-2273

Fax

(812) 574-2274

NPI assigned

Aug 20, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Marie Large, ASSOC. NURSING/BUSIN

Title

Owner/Director

Phone

(812) 574-2273

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1508098823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 INDUSTRIAL DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503904",
            "telephone_number": "812-574-2273",
            "fax_number": "812-574-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 INDUSTRIAL DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503904",
            "telephone_number": "812-574-2273",
            "fax_number": "812-574-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "LARGE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "812-574-2273",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ASSOC. NURSING/BUSIN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "090121831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.