Organization · NPI-2

Big Homies Of America LLC

Public Health or Welfare · Indianapolis, IN

NPI number1922769587

StatusActive

Last updated in NPPESJan 6, 2022

Details

NPI: 1922769587
Entity type: Organization (NPI-2)
Legal business name: Big Homies Of America LLC
Organization subpart: No
Enumeration date: Jan 6, 2022
Certification date: Jan 6, 2022
Last updated: Jan 6, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251K00000X	Public Health or Welfare	–	–	Yes
174200000X	Meals	–	–
177F00000X	Lodging	–	–
251300000X	Local Education Agency (LEA)	–	–
251B00000X	Case Management	–	–
251S00000X	Community/Behavioral Health	–	–
251V00000X	Voluntary or Charitable	–	–

Practice location

1234 W 26th St
Indianapolis, IN 46208-5307

Phone 317-400-7504

Mailing address

1234 W 26th St
Indianapolis, IN 46208-5307

Authorized official

Shane Shepherd
President
3174007504

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