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Contact Information

CARE AT HOME LLC
717 WASHINGTON PARK BLVD
MICHIGAN CITY, IN46360-2056
 Phone: 219-229-1630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CARE AT HOME LLC · (Female)

NPI # 1164984597
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2019
Last updated 04/04/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 1386960599
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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