Organization Active NPI

Tango Charlie Enterprises

Doing business as IndyAngel Home Care Services

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1568286706
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TANGO CHARLIE ENTERPRISES
Doing business as
IndyAngel Home Care Services
IndyAngels Home Care Services
Practice address
3410 N High School Rd Ste G
Indianapolis, IN 46224-1100
Phone
(317) 526-0943
NPI assigned
Nov 14, 2024
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charles Booker, 3S,3X, SSGT, USAF
Title
Admin
Phone
(317) 955-5845

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Home Health Agency 251E00000X NU
Non-emergency Medical Transport (VAN) 343900000X NU
In Home Supportive Care Agency 253Z00000X NU Primary
Meals Provider 174200000X NU

Addresses

Primary practice location

3410 N High School Rd Ste G
Indianapolis, IN 46224-1100

Mailing address

3410 N High School Rd Ste G
Indianapolis, IN 46224-1100
Phone (317) 526-0943

Other names 2

  • IndyAngel Home Care Services Doing business as
  • IndyAngels Home Care Services Doing business as

National Provider Directory

National Provider Directory

Locations

3410 N High School Rd
Ste G
Indianapolis, IN 46224
Phone (317) 296-3771

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1568286706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 N HIGH SCHOOL RD STE G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462241100",
            "telephone_number": "317-526-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 N HIGH SCHOOL RD STE G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462241100",
            "telephone_number": "317-526-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGO CHARLIE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "317-955-5845",
        "authorized_official_credential": "3S,3X, SSGT, USAF"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IndyAngel Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IndyAngels Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.