Physiocare Home Healthcare LLC
Home Health in West Lafayette, IN. Organization (NPI-2).
NPI number1033445895
StatusActive
Last updated in NPPESApr 24, 2026
Details
- NPI
- 1033445895
- Entity type
- Organization (NPI-2)
- Legal business name
- Physiocare Home Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2009
- Certification date
- Apr 24, 2026
- Last updated
- Apr 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 11-012233 | IN | Yes |
| 251E00000X | Home Health | – | – |
Practice location
1440 Innovation PlWest Lafayette, IN 47906-1000
Phone 765-838-1660 · Fax 765-838-1662
Mailing address
1440 Innovation PlWest Lafayette, IN 47906-1000
Phone 765-838-1660 · Fax 765-838-1662
Authorized official
Derek Stotz
Ceo
9178828513
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