Home Care Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

06-004060-1 Issued in IN

Legal business name

HOME CARE SERVICES, INC

Practice address

6202 Constitution Dr
Suite C
Ft Wayne, IN 46804-1583

Phone

(260) 459-2917

Fax

(260) 459-2894

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Christi C. Everson RN, RN

Title

President/ Administrator

Phone

(260) 459-2917

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1578528790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 CONSTITUTION DR",
            "address_2": "SUITE C",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "468041583",
            "telephone_number": "260-459-2917",
            "fax_number": "260-459-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 CONSTITUTION DR",
            "address_2": "SUITE C",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "468041583",
            "telephone_number": "260-459-2917",
            "fax_number": "260-459-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "EVERSON RN",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/ ADMINISTRATOR",
        "authorized_official_telephone_number": "260-459-2917",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "06-004060-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200491120A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Ft Wayne, IN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.