Provider Demographics
NPI:1063752426
Name:HOMECARE ADVOCATE SERVICES INCORPORATED
Entity type:Organization
Organization Name:HOMECARE ADVOCATE SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-902-7362
Mailing Address - Street 1:944 W COUNTY ROAD 200 N
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46122-8340
Mailing Address - Country:US
Mailing Address - Phone:317-902-7362
Mailing Address - Fax:317-203-0717
Practice Address - Street 1:944 W COUNTY ROAD 200 N
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-8340
Practice Address - Country:US
Practice Address - Phone:317-902-7362
Practice Address - Fax:317-203-0717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN13-013109-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN13-013109-1OtherINDIANA STATE DEPARTMENT OF HEALTH - PERSONAL SERVICES AGENCY LICENSE