Healthcare Provider Details

I. General information

NPI: 1619351327
Provider Name (Legal Business Name): BOILER GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 E 86TH ST SUITE 250
INDIANAPOLIS IN
46240-1861
US

IV. Provider business mailing address

941 E 86TH ST STE 250
INDIANAPOLIS IN
46240-1853
US

V. Phone/Fax

Practice location:
  • Phone: 317-252-4472
  • Fax:
Mailing address:
  • Phone: 317-252-4472
  • 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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DUANE L SINN
Title or Position: MEMBER
Credential:
Phone: 317-252-4472