Advanced Psa Family Center
Organization Active NPI In Home Supportive Care Agency · Indianapolis, IN
NPI 1629328406 · NPPES record last updated Sep 19, 2012
Key facts
- NPI
- 1629328406
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- 110119791 (IN)
- Legal business name
- ADVANCED PSA FAMILY CENTER
- Practice address
- 6214 N. Morenci Trial Suite 220
220
Indianapolis, IN 46268-4824 - Phone
- (317) 457-4735
- NPI assigned
- Sep 19, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Christina G Edmonds
- Title
- Ceo
- Phone
- (317) 601-7230
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 110119791 | IN | Yes |
Addresses
Primary practice location
6214 N. Morenci Trial Suite 220
220
Indianapolis, IN 46268-4824
Mailing address
6214 N. Morenci Trial Suite 220
220
Indianapolis, IN 46268-4824
Phone (317) 457-4735
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2012. 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.