Healthcare Provider Details

I. General information

NPI: 1306784343
Provider Name (Legal Business Name): CHARMING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 N DELAWARE ST STE 100
INDIANAPOLIS IN
46202-2563
US

IV. Provider business mailing address

10075 SUNMARK LN
AVON IN
46123-9854
US

V. Phone/Fax

Practice location:
  • Phone: 269-313-3924
  • Fax:
Mailing address:
  • Phone: 269-313-3924
  • 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: TIARRA WILBURN
Title or Position: OWNER
Credential:
Phone: 269-313-3924