Healthcare Provider Details

I. General information

NPI: 1285455709
Provider Name (Legal Business Name): ALL AROUND CLAY TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6155 CASTLEFORD DR
INDIANAPOLIS IN
46203-6281
US

IV. Provider business mailing address

6155 CASTLEFORD DR
INDIANAPOLIS IN
46203-6281
US

V. Phone/Fax

Practice location:
  • Phone: 317-286-0616
  • Fax:
Mailing address:
  • Phone: 317-286-0616
  • 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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ALYCIA CLAY
Title or Position: OWNER
Credential:
Phone: 317-286-0616