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CARE AT HOME LLC
NPI 1164984597
Nurse Practitioner - Primary Care in Michigan City, IN

Active since April 04, 2019
717 WASHINGTON PARK BLVD, MICHIGAN CITY, IN 46360(219) 229-1630 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Care At Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARE AT HOME LLC (NPI 1164984597) is a healthcare organization registered as a primary care in Michigan City, Indiana and active in the NPI registry since April 2019. The organization lists Raelonda M Woodard, President, as its authorized official.

NPPES Registry Identity

NPI1164984597
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameCARE AT HOME LLC
Location Address717 WASHINGTON PARK BLVDMichigan City, IN 46360-2056
Mailing Address717 Washington Park BlvdMichigan City, IN 46360-2056 · (219) 229-1630
Phone(219) 229-1630
Organization SubpartNo
Authorized OfficialRaelonda M WoodardPresident · (219) 229-1630
Enumeration DateApril 4, 2019
✔ NPI 1164984597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
717 WASHINGTON PARK BLVD, Michigan City, IN 46360
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Other Identifiers 1

Medicaid1386960599IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Care At Home LLC's NPI number?

The NPI number for Care At Home LLC is 1164984597. It was assigned to this organization in the NPPES registry on April 4, 2019.

Where is Care At Home LLC located?

Care At Home LLC is located at 717 Washington Park Blvd, Michigan City, IN 46360. The listed phone number is (219) 229-1630.

What is Care At Home LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Care At Home LLC was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.