Provider Demographics
NPI:1932154523
Name:HOOSIER CARE INC
Entity type:Organization
Organization Name:HOOSIER CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AR BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-255-0075
Mailing Address - Street 1:1050 CHINOE RD
Mailing Address - Street 2:STE 350
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-6571
Mailing Address - Country:US
Mailing Address - Phone:859-255-0075
Mailing Address - Fax:859-281-5150
Practice Address - Street 1:1515 HULSE RD
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BEACH
Practice Address - State:NJ
Practice Address - Zip Code:08742-4527
Practice Address - Country:US
Practice Address - Phone:732-295-9300
Practice Address - Fax:732-295-8781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061502314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
315135OtherHORIZION - SNF
000823OtherHORIZON - SUB
4494300OtherUNISYS
A3028697OtherOXFORD HEALTH PLANS
NJ15370Medicaid
317110OtherUS FAMILY HEALTH PLAN
82340OtherAETNA-HMO
IY0224OtherHEALTHNET OF PA
82340OtherAETNA-HMO
=========OtherAETNA-NONHMO
NJ15370Medicaid
=========OtherCONSUMER HEALTH NETWORK
315135OtherHORIZION - SNF