Organization
HOME CARE NETWORK, INC
Active
Other names
Pediatric Nursing Specialists of HCN
Organization subpart
No
Provider details
NPI number
Authorized official
KIM KING RN (COO)
(937) 409-7071
Entity
Organization
Contact information
Practice address
8580 CEDAR PLACE DR STE 115A, INDIANAPOLIS, IN 46240-2379
(800) 622-4303
Mailing address
1191 LYONS RD, DAYTON, OH 45458-1857
(800) 600-3974
(937) 813-1105
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300034910
MEDICAID WAIVER
IN
05
—
300035030
—
IN
Enumeration date
03/06/2007
Last updated
09/19/2024
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