| NPI | 1700669181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA CLARK CEO/Owner 317-902-2431 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2024-05-18 |