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Organization
HOOSIER CARE III, INC.
Active
Organization
HOOSIER CARE III, INC.
Active
Other names
Hoosier Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA J. BLEVINS (OFFICE MANAGER)
(812) 378-9027
Entity
Organization
Contact information
Practice address
3200 SYCAMORE CT, SUITE 113, COLUMBUS, IN 47203-1545
(812) 378-9027
Mailing address
3200 SYCAMORE CT, SUITE 113, COLUMBUS, IN 47203-1545
(812) 378-9027
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1031
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000321812
—
DE
05
—
000321711
—
DE
01
—
0004639000
IBC
—
01
—
0117439
AETNA-HMO
—
01
—
021I
CAREFIRST - PROV/INQ#
—
01
—
11100
ELDER HEALTH
—
01
—
155031
BC/BS OF DELAWARE
—
01
—
245082
UNITED MAMSI
—
01
—
71-01244
UNITED - EVERCARE
—
01
—
PN5
CAREFIRST IND/PPO
—
Enumeration date
06/24/2006
Last updated
07/21/2022
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