OrganizationActive
Care at Home LLC
NPI 1164984597 · Primary Care Nurse Practitioner · Michigan City, IN
Provider details
- NPI number
- 1164984597
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Raelonda Woodard, President(219) 229-1630
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
717 Washington Park Blvd
Michigan City, IN 46360-2056
Phone: (219) 229-1630
Approximate (ZIP-level) locationGet directions
Mailing address
717 Washington Park Blvd
Michigan City, IN 46360-2056
Registry dates
- Enumerated
- 2019-04-04
- Last updated
- 2019-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.