Healthcare Provider Details

I. General information

NPI: 1891612768
Provider Name (Legal Business Name): SAPPHIRE EXCELLENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 N ARSENAL AVE STE A
INDIANAPOLIS IN
46218-3460
US

IV. Provider business mailing address

2111 N ARSENAL AVE STE A
INDIANAPOLIS IN
46218-3460
US

V. Phone/Fax

Practice location:
  • Phone: 317-525-2955
  • Fax: 317-947-0922
Mailing address:
  • Phone: 317-525-2955
  • Fax: 317-947-0922

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: LATOYA BROWN
Title or Position: DIRECTOR
Credential:
Phone: 317-525-2955