Provider Demographics
NPI:1932563970
Name:GREAT CARE HOME HEALTH, INC.
Entity type:Organization
Organization Name:GREAT CARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSOM
Authorized Official - Phone:317-595-9933
Mailing Address - Street 1:5511 E 82ND ST
Mailing Address - Street 2:STE C
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-4515
Mailing Address - Country:US
Mailing Address - Phone:317-595-9933
Mailing Address - Fax:
Practice Address - Street 1:5511 E 82ND ST
Practice Address - Street 2:STE C
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-4515
Practice Address - Country:US
Practice Address - Phone:317-595-9933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN15013823-2251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health