Active NPI
Tango Charlie Enterprises
Doing business as IndyAngel Home Care Services
- In Home Supportive Care Agency
- Indianapolis, IN
National Provider Identifier
1568286706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- IndyAngels Home Care Services
National Provider Directory
National Provider DirectoryLocations
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.