MEDICARE: TINOCARE HOUSING GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility

General Provider Information

NPI Number	:	1306651740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TINOCARE HOUSING GROUP

Provider Business Mailing Address
First Line	:	3974 GEORGETOWN RD STE M
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-2406
Country	:	US
Telephone Number	:	317-340-8818
Fax Number	:

Provider Business Practice Location Address
First Line	:	3974 GEORGETOWN RD STE M
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-2406
Country	:	US
Telephone Number	:	317-340-8818
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TINOTENDA CHINEMBIRI
Credential	:
Telephone Number	:	317-340-8818

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	02/12/2025

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