Provider Demographics
NPI:1588051965
Name:I-CARE ENTERPRISE, INC., DBA HOME INSTEAD SENIOR CARE
Entity type:Organization
Organization Name:I-CARE ENTERPRISE, INC., DBA HOME INSTEAD SENIOR CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-888-4300
Mailing Address - Street 1:633 LIBRARY PARK DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-1578
Mailing Address - Country:US
Mailing Address - Phone:317-888-4300
Mailing Address - Fax:
Practice Address - Street 1:633 LIBRARY PARK DR
Practice Address - Street 2:SUITE G
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-1578
Practice Address - Country:US
Practice Address - Phone:317-888-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN15-011732-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care