| NPI | 1205704475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAQUANA COLEMAN CEO 317-998-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-28 |