1st Moments Home Care LLC
Technician, Attendant Care Provider in Indianapolis, IN. Organization (NPI-2).
NPI number1225864085
StatusActive
Last updated in NPPESOct 16, 2024
Details
- NPI
- 1225864085
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Moments Home Care LLC
- Organization subpart
- No
- Enumeration date
- Sep 10, 2024
- Certification date
- Oct 16, 2024
- Last updated
- Oct 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Practice location
9124 E 25th StIndianapolis, IN 46229-1104
Phone 765-609-9023
Mailing address
9124 E 25th StIndianapolis, IN 46229-1104
Phone 765-609-9023
Authorized official
Whitney Scott
Owner
7656099023
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