Healthcare Provider Details

I. General information

NPI: 1336832542
Provider Name (Legal Business Name): ALIGN HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2023
Last Update Date: 06/01/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 E 46TH ST STE 120
INDIANAPOLIS IN
46205-1449
US

IV. Provider business mailing address

14026 MEADOW LAKE DR
FISHERS IN
46038-5587
US

V. Phone/Fax

Practice location:
  • Phone: 317-503-7827
  • Fax:
Mailing address:
  • Phone: 317-503-7827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. TERRANCE TURNER
Title or Position: MANAGER
Credential:
Phone: 317-503-7827