# MICHIANA COMMUNITY CARE LLC

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

## Provider details

- **NPI number:** 1841815032
- **Authorized official:** MRS. PAYAL KOUL-KUMAR PT (OWNER/CEO)
- **Authorized official phone:** (574) 343-6954

## Contact information

- **Practice address:** 12655 STATE ROAD 23, GRANGER, IN 46530-9641
- **Practice address phone:** (574) 247-7000
- **Practice address fax:** (574) 272-4000
- **Mailing address:** 12655 STATE ROAD 23, GRANGER, IN 46530-9641
- **Mailing address phone:** (574) 247-7000
- **Mailing address fax:** (574) 272-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2020
- **Last updated:** 06/12/2020