| NPI | 1689193401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL RENEE BUMPHUS CEO 317-771-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 332100000X Department of Veterans Affairs (VA) Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-07-21 |