Healthcare Provider Details

I. General information

NPI: 1932931920
Provider Name (Legal Business Name): MS. ANTIONETTE R LANIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2024
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 CONGRESSIONAL BLVD STE 200
CARMEL IN
46032-5631
US

IV. Provider business mailing address

303 CONGRESSIONAL BLVD STE 200
CARMEL IN
46032-5631
US

V. Phone/Fax

Practice location:
  • Phone: 317-812-5108
  • Fax:
Mailing address:
  • Phone: 317-812-5108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number24-017789
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: