Organization
CARETENDERS OF INDIANA, INC.
Active
Other names
Caretenders
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK TODD LYLES (SR. V.P., ADMINISTRATION)
(502) 891-1044
Entity
Organization
Contact information
Practice address
5000 BACK SQUARE DR, BUILDING D, OWENSBORO, KY 42301-7411
(270) 685-3876
(270) 691-9405
Mailing address
9510 ORMSBY STATION RD, SUITE 300, LOUISVILLE, KY 40223-4081
(502) 891-1000
(502) 891-8067
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000367931
ANTHEM PROVIDER NUMBER
KY
05
—
34340109
—
KY
05
—
41340019
—
KY
05
—
42340026
—
KY
05
—
45342599
—
KY
Enumeration date
09/20/2006
Last updated
07/03/2008
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