# CONCEPT CARE AT HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235996737
- **Authorized official:** BROOKE WHITE PTA (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (154) 514-9296

## Contact information

- **Practice address:** 3222 MISHAWAKA AVE, SOUTH BEND, IN 46615-2352
- **Practice address phone:** (574) 387-5459
- **Mailing address:** 3222 MISHAWAKA AVE, SOUTH BEND, IN 46615-2352
- **Mailing address phone:** (574) 387-5459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/01/2024
- **Last updated:** 03/01/2024