Organization
HOOSIER CARE III, INC.
Active
Other names
Hoosier Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA J. BLEVINS (OFFICE MANAGER)
(812) 378-9027
Entity
Organization
Contact information
Practice address
3200 SYCAMORE CT, SUITE 113, COLUMBUS, IN 47203-1545
(812) 378-9027
Mailing address
3200 SYCAMORE CT, SUITE 113, COLUMBUS, IN 47203-1545
(812) 378-9027
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1031
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000321812
—
DE
05
—
000321711
—
DE
01
—
0004639000
IBC
—
01
—
0117439
AETNA-HMO
—
01
—
021I
CAREFIRST - PROV/INQ#
—
01
—
11100
ELDER HEALTH
—
01
—
155031
BC/BS OF DELAWARE
—
01
—
245082
UNITED MAMSI
—
01
—
71-01244
UNITED - EVERCARE
—
01
—
PN5
CAREFIRST IND/PPO
—
Enumeration date
06/24/2006
Last updated
07/21/2022
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