King'S Grace Homecare LLC
In Home Supportive Care in Indianapolis, IN. Organization (NPI-2).
NPI number1366042541
StatusActive
Last updated in NPPESOct 9, 2024
Details
- NPI
- 1366042541
- Entity type
- Organization (NPI-2)
- Legal business name
- King'S Grace Homecare LLC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2020
- Certification date
- Oct 9, 2024
- Last updated
- Oct 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Other names
- Synergy Homecare (Doing Business As)
Practice location
4755 Kingsway Dr Ste 125Indianapolis, IN 46205-1551
Phone 317-762-0411
Mailing address
450 E 96th St Ste 500Indianapolis, IN 46240-3760
Phone 317-762-0411 · Fax 317-493-0939
Authorized official
Terri J King
Ceo
3177620041
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