Healthcare Provider Details

I. General information

NPI: 1134811342
Provider Name (Legal Business Name): TOUCHED BY TWO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5455 W 86TH ST STE 135
INDIANAPOLIS IN
46268-1539
US

IV. Provider business mailing address

5455 W 86TH ST STE 135
INDIANAPOLIS IN
46268-1539
US

V. Phone/Fax

Practice location:
  • Phone: 317-956-5446
  • Fax:
Mailing address:
  • Phone: 317-956-5446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: DOMINIQUE NEELY
Title or Position: OWNER
Credential:
Phone: 317-864-6880