Provider Demographics
NPI:1285433458
Name:NICARE HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:NICARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:TARES
Authorized Official - Last Name:MCVEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:463-280-5605
Mailing Address - Street 1:6277 W KNIGHTSBRIDGE CT APT B
Mailing Address - Street 2:
Mailing Address - City:MCCORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46055-6162
Mailing Address - Country:US
Mailing Address - Phone:463-280-5605
Mailing Address - Fax:
Practice Address - Street 1:6277 W KNIGHTSBRIDGE CT APT B
Practice Address - Street 2:
Practice Address - City:MCCORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46055-6162
Practice Address - Country:US
Practice Address - Phone:463-280-5605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300102431Medicaid