Healthcare Provider Details

I. General information

NPI: 1558283465
Provider Name (Legal Business Name): GROUNDWORK CASE MANAGEMENT SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 E 29TH ST
INDIANAPOLIS IN
46205-4160
US

IV. Provider business mailing address

215 E 33RD ST
INDIANAPOLIS IN
46205-3405
US

V. Phone/Fax

Practice location:
  • Phone: 317-619-4665
  • Fax:
Mailing address:
  • Phone: 317-619-4665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DAMICA ONEAL
Title or Position: CEO
Credential:
Phone: 317-551-0023