Healthcare Provider Details

I. General information

NPI: 1407700180
Provider Name (Legal Business Name): ANGELA ARKENAU OWNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6612 E 75TH ST
INDIANAPOLIS IN
46250-2875
US

IV. Provider business mailing address

6612 E 75TH ST
INDIANAPOLIS IN
46250-2875
US

V. Phone/Fax

Practice location:
  • Phone: 317-590-5576
  • Fax: 317-436-7678
Mailing address:
  • Phone: 317-590-5576
  • Fax: 317-436-7678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number26-015151-1
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: