Provider Demographics
NPI:1174057160
Name:ELDER CARE SERVICES, INC.
Entity type:Organization
Organization Name:ELDER CARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:219-863-5969
Mailing Address - Street 1:2701 BEECH ST STE J
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-6120
Mailing Address - Country:US
Mailing Address - Phone:219-863-5969
Mailing Address - Fax:219-462-4137
Practice Address - Street 1:2701 BEECH ST STE J
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-6120
Practice Address - Country:US
Practice Address - Phone:219-863-5969
Practice Address - Fax:219-462-4137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-17
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health