Provider Demographics
NPI:1245028372
Name:ISLAMIC HOME CARE OF AMERICA LLC
Entity type:Organization
Organization Name:ISLAMIC HOME CARE OF AMERICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-929-6094
Mailing Address - Street 1:885 S COLLEGE MALL RD STE 312
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-6301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5233 S OLD STATE ROAD 37 OFC D
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47401-7569
Practice Address - Country:US
Practice Address - Phone:812-929-6094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care