Healthcare Provider Details

I. General information

NPI: 1114241510
Provider Name (Legal Business Name): FOSTER HEALTHCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2010
Last Update Date: 11/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 E 86TH ST SUITE 205
INDIANAPOLIS IN
46240-1859
US

IV. Provider business mailing address

921 E 86TH ST SUITE 205
INDIANAPOLIS IN
46240-1859
US

V. Phone/Fax

Practice location:
  • Phone: 317-816-2273
  • Fax: 317-816-2275
Mailing address:
  • Phone: 317-816-2273
  • Fax: 317-816-2275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DONELL LAMAR FOSTER SR.
Title or Position: PRESIDENT
Credential:
Phone: 317-816-2273