Antoinette Harris

Individual provider Active NPI Day Training/Habilitation Specialist · Indianapolis, IN

NPI 1356017248 · NPPES record last updated Aug 19, 2021

Key facts

NPI
1356017248
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
6158 Nalon CT
Indianapolis, IN 46224-4546
Phone
(317) 742-2340
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Star Quality Home Care LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
373H00000X Yes

Addresses

Primary practice location

6158 Nalon CT
Indianapolis, IN 46224-4546

Mailing address

6158 Nalon CT Apt D
Indianapolis, IN 46224-4546

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Day Training/Habilitation Specialist in Indiana

Sources for this page

Verify at the official NPI Registry.