Healthcare Provider Details

I. General information

NPI: 1437066040
Provider Name (Legal Business Name): PROFESSIONAL CAREGIVERS OF INDIANA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4406 ROTTERDAM DR
INDIANAPOLIS IN
46228-6762
US

IV. Provider business mailing address

4406 ROTTERDAM DR
INDIANAPOLIS IN
46228-6762
US

V. Phone/Fax

Practice location:
  • Phone: 317-440-5702
  • Fax:
Mailing address:
  • Phone: 317-440-5702
  • 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: MR. FOLUSO OLATUNJI ATOBATELE
Title or Position: MR
Credential:
Phone: 317-440-5702