Active Care Home Services Inc
Organization Active NPI In Home Supportive Care Agency · Indianapolis, IN
NPI 1801192166 · NPPES record last updated Feb 3, 2011
Key facts
- NPI
- 1801192166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- ACTIVE CARE HOME SERVICES INC
- Practice address
- 5033 Lewiston Dr
Indianapolis, IN 46254-7104 - Phone
- (317) 652-7858
- Fax
- (317) 657-9658
- NPI assigned
- Feb 3, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Oluwole L Ajayi, MD
- Title
- Ceo
- Phone
- (317) 652-7858
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
5033 Lewiston Dr
Indianapolis, IN 46254-7104
Mailing address
5033 Lewiston Dr
Indianapolis, IN 46254-7104
Phone (317) 652-7858
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All providers in Indianapolis, IN · In Home Supportive Care Agency in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2011. 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.