Provider Demographics
NPI:1679872642
Name:HOMEPOINT CARE SERVICES INC
Entity type:Organization
Organization Name:HOMEPOINT CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARKHAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-774-7764
Mailing Address - Street 1:14074 TRADE CENTER DR
Mailing Address - Street 2:SUITE 234
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-4577
Mailing Address - Country:US
Mailing Address - Phone:317-774-7764
Mailing Address - Fax:317-282-0582
Practice Address - Street 1:14074 TRADE CENTER DR
Practice Address - Street 2:SUITE 234
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-4577
Practice Address - Country:US
Practice Address - Phone:317-774-7764
Practice Address - Fax:317-282-0582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN100124711253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201007820Medicaid