Chibuzo Ikechukwu Micheal, CEO
Individual provider Active NPI Home Health Aide · Camby, IN
NPI 1043044183 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1043044183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 24-016599-1 (IN)
- Practice address
- 7713 Belmac LN
Camby, IN 46113-8758 - Phone
- (317) 515-2011
- NPI assigned
- Aug 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-016599-1 | IN | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 24-016599-1 | IN | Yes |
Addresses
Primary practice location
7713 Belmac LN
Camby, IN 46113-8758
Mailing address
7713 Belmac LN
Camby, IN 46113-8758
Phone (317) 515-2011
Other providers in Camby, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.