CARE AT HOME LLC


Address: 717 Washington Park Blvd, Michigan City, IN 46360-2056
Phone: 2192291630

CARE AT HOME LLC (NPI# 1164984597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164984597
Entity Type Organization
Organization Name CARE AT HOME LLC
Practice Address 717 Washington Park Blvd
Michigan City
IN 46360-2056
Practice Telephone 2192291630
Mailing Telephone 2192291630
Enumeration Date 2019-04-04
Last Update Date 2019-04-04
Authorized Official Name MRS. RAELONDA M WOODARD (PRESIDENT)
Authorized Official Telephone 2192291630
Authorized Official Credential FNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 1386960599 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528618170 Care At Home LLC In Home Supportive Care 1181 California Ave Ste 170, Corona, CA 92881-7296 2019-09-16
1285871228 Care At Home LLC Nursing Care 800 3rd St, 250, Herndon, VA 20170-3272 2009-01-13

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Care At Home LLC 6705 Northface Lane, Colorado Springs, CO 80919

Office Location

Street Address 717 WASHINGTON PARK BLVD
City MICHIGAN CITY
State IN
Zip Code 46360-2056

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821649096 Trinity Healthcare Inc. Occupational Therapist 4300 Cleveland Ave, Michigan City, IN 46360 2019-09-27
1861905499 Erika Leigh Maroon Chiropractor 8690 West Pahs Rd., Michigan City, IN 46360 2017-11-06
1750740650 Michelle Asbell Nurse Practitioner 301 Homer St, Michigan City, IN 46360 2016-02-19
1235523952 Marnee Flinn-smith Specialist/Technologist 8466 Pahs Rd, Michigan City, IN 46360 2015-03-19
1184976359 Kelly Stewart Physical Therapist 301 Homer Street, Michigan City, IN 46360 2012-10-11
1053660936 Planned Parenthood of Indiana Michigan City Clinic/Center 324 Dunes Plaza, Michigan City, IN 46360 2012-09-06
1114288644 June R. R. Nichols Ocularist, Ltd Durable Medical Equipment & Medical Supplies 450 St. John Road, Suite 396, Michigan City, IN 46360 2012-05-31
1083980858 Enoch Kassa Internal Medicine 3777 N Frontage Rd, Michigan City, IN 46360 2012-03-27
1760768196 American Limb & Orthopedic Company of Valparaiso Prosthetic/Orthotic Supplier 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 2011-10-31
1801181144 Elizabeth A Whitaker Counselor 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 2011-06-15
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942809140 Indiana Suburban Visiting Physician Services Nurse Practitioner 5 Washington St Ste 300, Valparaiso, IN 46383-4769 2020-10-20
1033737069 Housecalls/optum for United Health Group Nurse Practitioner 518 Euclid Ave, Greenwood, IN 46142-3618 2020-07-07
1497382030 Toya Jamillah Woods Nurse Practitioner 3814 Grant St, Gary, IN 46408-2150 2020-03-24
1558905554 Amy Hueston Nurse Practitioner 313 S Berkley Rd, Kokomo, IN 46901-5114 2019-11-01
1891338166 Jayme Lantz Nurse Practitioner 20085 Turquoise Ln, Goshen, IN 46528-6294 2019-10-19
1033761770 Workplace Health Services Nurse Practitioner 1632 W. In-28, Frankfort, IN 46041 2019-07-12
1255815379 Amanda Kay Goins Nurse Practitioner 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 2018-09-25
1972084267 Kelly Sue Ann Peasley Nurse Practitioner 2101 Jackson St Ste 8, Anderson, IN 46016-4341 2018-08-24
1891271466 Hilton Health Housecall LLC Nurse Practitioner 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 2018-07-17
1235634221 Laura D Cannon Nurse Practitioner 6375 U S Hwy 6, Portage, IN 46368-5218 2018-03-29
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Competitor

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City MICHIGAN CITY
Zip Code 46360

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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