Healthcare Provider Details

I. General information

NPI: 1164054540
Provider Name (Legal Business Name): PERFECT HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2020
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 LA PAS TRL STE 215
INDIANAPOLIS IN
46268-4887
US

IV. Provider business mailing address

6201 LA PAS TRL STE 215
INDIANAPOLIS IN
46268-4887
US

V. Phone/Fax

Practice location:
  • Phone: 317-670-7552
  • Fax:
Mailing address:
  • Phone: 317-670-7552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: OLABYI OBA CHABI
Title or Position: PRESIDENT
Credential:
Phone: 317-670-7552