Healthcare Provider Details
I. General information
NPI: 1598696478
Provider Name (Legal Business Name): DONNITA HUNT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3768 VIENNA PL
INDIANAPOLIS IN
46228-6738
US
IV. Provider business mailing address
3768 VIENNA PL
INDIANAPOLIS IN
46228-6738
US
V. Phone/Fax
- Phone: 317-654-2717
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | 26-020374-1 |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: