Healthcare Provider Details

I. General information

NPI: 1053160663
Provider Name (Legal Business Name): FIRST CLASS LEARNING MINISTRY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2144 E 52ND ST
INDIANAPOLIS IN
46205-1408
US

IV. Provider business mailing address

2144 E 52ND ST
INDIANAPOLIS IN
46205-1408
US

V. Phone/Fax

Practice location:
  • Phone: 317-986-6995
  • Fax:
Mailing address:
  • Phone: 317-986-6995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MS. CONCETTA M THOMAS
Title or Position: CHIEF EXECUTIVE / DIRECTOR
Credential:
Phone: 317-986-9665