Healthcare Provider Details

I. General information

NPI: 1891543773
Provider Name (Legal Business Name): TOP TIER HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2024
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5415 HAMMOCK GLEN DR
INDIANAPOLIS IN
46235-9780
US

IV. Provider business mailing address

5415 HAMMOCK GLEN DR
INDIANAPOLIS IN
46235-9780
US

V. Phone/Fax

Practice location:
  • Phone: 765-243-1551
  • Fax:
Mailing address:
  • Phone: 765-243-1551
  • Fax:

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QV0200X
TaxonomyVA Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LASHANNA A KING
Title or Position: OWNER
Credential: RN
Phone: 765-243-1551