Healthcare Provider Details

I. General information

NPI: 1871895722
Provider Name (Legal Business Name): DCFI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2010
Last Update Date: 11/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10554 GREENWAY DR
FISHERS IN
46037-9372
US

IV. Provider business mailing address

PO BOX 2261
INDIANAPOLIS IN
46206-2261
US

V. Phone/Fax

Practice location:
  • Phone: 866-425-3118
  • Fax:
Mailing address:
  • Phone: 866-425-3183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number308863512
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number308863512
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SUZANNE CANNON
Title or Position: CEO
Credential:
Phone: 866-425-3183