# BROADWAY PHYSICAL THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA ProCare Home Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932106416
- **Authorized official:** MRS. VANESSA REDD (ADMINISTRATOR)
- **Authorized official phone:** (219) 887-2273

## Contact information

- **Practice address:** 4950 BROADWAY, SUITE C, GARY, IN 46408-4605
- **Practice address phone:** (219) 887-2273
- **Practice address fax:** (219) 884-2848
- **Mailing address:** 4950 BROADWAY, SUITE C, GARY, IN 46408-4605
- **Mailing address phone:** (219) 887-2273
- **Mailing address fax:** (219) 884-2848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 003042 | IN | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 04/03/2008