Healthcare Provider Details

I. General information

NPI: 1851129225
Provider Name (Legal Business Name): CHEF BORELS MEALS.ORG:INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6950 MICHIGAN RD
INDIANAPOLIS IN
46268-2739
US

IV. Provider business mailing address

6950 MICHIGAN RD
INDIANAPOLIS IN
46268-2739
US

V. Phone/Fax

Practice location:
  • Phone: 317-492-9448
  • Fax:
Mailing address:
  • Phone: 317-492-9448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: THERESA M BOREL
Title or Position: OWNER
Credential:
Phone: 317-492-9448