REDI-CARE INC P C; NPI #1790896611

Contact Information

REDI-CARE INC P C

2120 N DETROIT ST
LAGRANGE, IN 46761-1147

Phone: 260-463-2468
Fax: 260-463-4237
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for REDI-CARE INC P C

NPI # 1790896611

LBN Legal business name REDI-CARE INC P C

Authorized official DARYL HERSHBERGER - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/31/2006

Last updated 07/27/2022 - About 4 years ago

Identifiers

IN	License #	01037748A
IN	Medicaid	200108370A
IN	Other	000000299462	ANTHEM
IN	Other	4909200001	DMERC
IN	Other	8757	PHP
IN	Other	P00249946	RAILROAD MEDICARE
IN	Other	308606708	TRICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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