Healthcare Provider Details

I. General information

NPI: 1235736067
Provider Name (Legal Business Name): CINQCARE AT HOME PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 KEYSTONE XING STE 540
INDIANAPOLIS IN
46240-2130
US

IV. Provider business mailing address

PO BOX 503108
INDIANAPOLIS IN
46250-8108
US

V. Phone/Fax

Practice location:
  • Phone: 317-429-0120
  • Fax: 317-800-7730
Mailing address:
  • Phone: 317-429-0120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RODNEY C ARMSTEAD
Title or Position: CEO
Credential: MD
Phone: 310-418-7250