Healthcare Provider Details
I. General information
NPI: 1497751978
Provider Name (Legal Business Name): HOME SERVICES UNLIMITED INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/21/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7750 N MICHIGAN RD
INDIANAPOLIS IN
46268-2324
US
IV. Provider business mailing address
7750 N MICHIGAN RD
INDIANAPOLIS IN
46268-2324
US
V. Phone/Fax
- Phone: 317-471-0760
- Fax: 317-471-0755
- Phone: 317-471-0760
- Fax: 317-471-0755
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | IN |
VIII. Authorized Official
Name:
ETELKA
FROYMOVICH
Title or Position: PRESIDENT
Credential:
Phone: 317-471-0740