360 Home Care Services LLC
Technician, Attendant Care Provider in Indianapolis, IN. Organization (NPI-2).
NPI number1467295428
StatusActive
Last updated in NPPESJun 17, 2024
Details
- NPI
- 1467295428
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Home Care Services LLC
- Organization subpart
- No
- Enumeration date
- Jun 17, 2024
- Certification date
- Jun 17, 2024
- Last updated
- Jun 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
| 376K00000X | Nurse's Aide | – | – |
Practice location
5335 N Tacoma Ave Ste 13Indianapolis, IN 46220-3648
Phone 317-360-2421
Mailing address
11653 Stoeppelwerth DrIndianapolis, IN 46229-4244
Phone 317-360-2421
Authorized official
Vanessa D Gorham
Owner/Ceo
3173602421
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