Healthcare Provider Details

I. General information

NPI: 1316657711
Provider Name (Legal Business Name): CATER2FAMILIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 11/28/2022
Certification Date: 11/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6433 E WASHINGTON ST STE 132
INDIANAPOLIS IN
46219-6627
US

IV. Provider business mailing address

6433 E WASHINGTON ST STE 132
INDIANAPOLIS IN
46219-6627
US

V. Phone/Fax

Practice location:
  • Phone: 317-728-4716
  • Fax:
Mailing address:
  • Phone: 317-728-4716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: SHELLIE BRANSON
Title or Position: CEO
Credential:
Phone: 317-728-4716