Incare Home Healthcare, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

08-007377-1 Issued in IN

Legal business name

INCARE HOME HEALTHCARE, INC.

Practice address

425 Joliet St
Suite 312
Dyer, IN 46311-1765

Phone

(800) 896-0442

Fax

(219) 322-7538

NPI assigned

Mar 16, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Lee Fozzard

Title

President/Ceo

Phone

(800) 896-0442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1962643312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 JOLIET ST",
            "address_2": "SUITE 312",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111765",
            "telephone_number": "800-896-0442",
            "fax_number": "219-322-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JOLIET ST",
            "address_2": "SUITE 312",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111765",
            "telephone_number": "800-896-0442",
            "fax_number": "219-322-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCARE HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "FOZZARD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "800-896-0442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IN",
            "license": "08-007377-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Dyer, IN
• Providers in Dyer, IN by specialty
• Health Maintenance Organization in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.