Memorial Home Care, Inc.

LBN: Memorial Home Care, Inc.
Memorial Home Care, Inc. is an health care organization with primary practice located at 714 N Michigan St , South Bend IN 46601-1035. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Memorial Home Care, Inc. can be contacted via phone (574) 647-7176, or through Conrad, Greg via phone (574) 647-8777.

Contact Information

Primary practice address
714 N Michigan St South Bend IN 46601-1035
Phone: (574) 647-7176
Fax: (574) 647-6767
Website:
Map and Directions
Authorized official contact:
Name: Conrad, Greg
Phone: (574) 647-8777

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 60004143A Indiana

Profile Details

NPI number 1700957362
LBN Legal business name Memorial Home Care, Inc.
DBA Doing business as
Authorized official Conrad, Greg
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Jun 5th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700957362 NPPES
Indiana MEDICAID 200000690A
Indiana Other 1521271

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