Healthcare Provider Details

I. General information

NPI: 1104630128
Provider Name (Legal Business Name): FIFTH WARD CONSULTING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 E 40TH ST APT 7G
INDIANAPOLIS IN
46205-5603
US

IV. Provider business mailing address

25 E 40TH ST APT 7G
INDIANAPOLIS IN
46205-5603
US

V. Phone/Fax

Practice location:
  • Phone: 317-691-4779
  • Fax:
Mailing address:
  • Phone: 317-691-4779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHARRON WARD
Title or Position: CEO/MANAGER
Credential: LPN
Phone: 317-691-4779