Provider Demographics
NPI:1427631746
Name:ABC HOMECARE SERVICES INC
Entity type:Organization
Organization Name:ABC HOMECARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EME
Authorized Official - Middle Name:
Authorized Official - Last Name:UDOETUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-301-2520
Mailing Address - Street 1:9501 INDIANAPOLIS BLVD STE C2
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-2665
Mailing Address - Country:US
Mailing Address - Phone:219-301-2520
Mailing Address - Fax:
Practice Address - Street 1:9501 INDIANAPOLIS BLVD STE C2
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-2665
Practice Address - Country:US
Practice Address - Phone:219-301-2520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty