Provider Demographics
NPI:1669599700
Name:RG CARE INC
Entity type:Organization
Organization Name:RG CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RAISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRISHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-251-1225
Mailing Address - Street 1:8870 ZIONSVILLE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-1005
Mailing Address - Country:US
Mailing Address - Phone:317-251-1225
Mailing Address - Fax:317-251-1204
Practice Address - Street 1:8870 ZIONSVILLE RD STE 300
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1005
Practice Address - Country:US
Practice Address - Phone:317-251-1225
Practice Address - Fax:317-251-1204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No253Z00000XAgenciesIn Home Supportive Care