Healthcare Provider Details

I. General information

NPI: 1679183685
Provider Name (Legal Business Name): S&N HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

10634 CYRUS DR
INDIANAPOLIS IN
46231-1023
US

IV. Provider business mailing address

10634 CYRUS DR
INDIANAPOLIS IN
46231-1023
US

V. Phone/Fax

Practice location:
  • Phone: 317-250-9597
  • Fax:
Mailing address:
  • Phone: 317-250-9597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NWAMAKA THERESA ONOCHIE
Title or Position: PRESIDENT
Credential:
Phone: 317-250-9597