# HOOSIER CARE III, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Hoosier Care, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457387060
- **Authorized official:** REBECCA J. BLEVINS (OFFICE MANAGER)
- **Authorized official phone:** (812) 378-9027

## Contact information

- **Practice address:** 3200 SYCAMORE CT, SUITE 113, COLUMBUS, IN 47203-1545
- **Practice address phone:** (812) 378-9027
- **Mailing address:** 3200 SYCAMORE CT, SUITE 113, COLUMBUS, IN 47203-1545
- **Mailing address phone:** (812) 378-9027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1031 | DE | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 07/21/2022

## 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 | — |