Healthcare Provider Details

I. General information

NPI: 1043065907
Provider Name (Legal Business Name): MS. DIONNE ANGELENE STRONG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 SUN CATCHER DR
AVON IN
46123-8833
US

IV. Provider business mailing address

585 SUN CATCHER DR
AVON IN
46123-8833
US

V. Phone/Fax

Practice location:
  • Phone: 317-627-4577
  • Fax:
Mailing address:
  • Phone: 317-627-4577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number24-017066-1
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number24-017066-1
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: