Healthcare Provider Details

I. General information

NPI: 1154214864
Provider Name (Legal Business Name): OCS ENTERPRISE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025
Certification Date: 06/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 PARLIAMENT PL APT 1717
GREENWOOD IN
46142-1653
US

IV. Provider business mailing address

945 PARLIAMENT PL APT 1717
GREENWOOD IN
46142-1653
US

V. Phone/Fax

Practice location:
  • Phone: 317-619-2509
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: DASHAY WIMS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 317-619-2509