Physicians Homecare, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

05-005352-1 Issued in IN

Legal business name

PHYSICIANS HOMECARE, INC

Practice address

210 Professional CT
Lafayette, IN 47905-5105

Phone

(765) 447-3443

Fax

(765) 447-5877

NPI assigned

Oct 3, 2005

Organization subpart

No

Name

Mrs. Madlon L Drayer, RN

Title

Ceo

Phone

(765) 447-3443

Medicare changes of ownership in which this facility was the buyer or the seller.

• Anew Home Health, LLC

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1003342882
  CMS change of ownership Sold to, 2017-05-07

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2009.

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1780671990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PROFESSIONAL CT",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055105",
            "telephone_number": "765-447-3443",
            "fax_number": "765-447-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PROFESSIONAL CT",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055105",
            "telephone_number": "765-447-3443",
            "fax_number": "765-447-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HOMECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "DRAYER",
        "authorized_official_first_name": "MADLON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-447-3443",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "05-005352-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200045230A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100265450A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoenix Paramedic Solutions, LLC
• Phoenix Paramedic Solutions, LLC
• Phoenix Paramedic Solutions, LLC
• Phoenix Paramedic Solutions; LLC
• Phoenix Tree Counseling, LLC
• Physiocare Homecare LLC
• Pickerill Personalized Care LLC
• Casey L Pickerill, MD
• Jennifer Pickering, CST
• Randall Alan Pickering, LCSW

• All providers in Lafayette, IN
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.