# INCARE HOME HEALTHCARE, INC.

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

## Provider details

- **NPI number:** 1962643312
- **Authorized official:** MR. JERRY LEE FOZZARD (PRESIDENT/CEO)
- **Authorized official phone:** (800) 896-0442

## Contact information

- **Practice address:** 425 JOLIET ST, SUITE 312, DYER, IN 46311-1765
- **Practice address phone:** (800) 896-0442
- **Practice address fax:** (219) 322-7538
- **Mailing address:** 425 JOLIET ST, SUITE 312, DYER, IN 46311-1765
- **Mailing address phone:** (800) 896-0442
- **Mailing address fax:** (219) 322-7538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 08-007377-1 | IN | Yes |

## Other

- **Enumeration date:** 03/16/2009
- **Last updated:** 03/16/2009