Provider Demographics
NPI:1861862237
Name:INTERCARE, INC
Entity type:Organization
Organization Name:INTERCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COMPLIANCE & FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:TALARICO
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:236-407-6491
Mailing Address - Street 1:9800 CONNECTICUT DR
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-7840
Mailing Address - Country:US
Mailing Address - Phone:260-341-3262
Mailing Address - Fax:
Practice Address - Street 1:9800 CONNECTICUT DR
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-7840
Practice Address - Country:US
Practice Address - Phone:260-341-3262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management