Healthcare Provider Details

I. General information

NPI: 1982463972
Provider Name (Legal Business Name): KENDRICK CARES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 KEYSTONE XING STE 1060
INDIANAPOLIS IN
46240-7751
US

IV. Provider business mailing address

8900 KEYSTONE XING STE 1060
INDIANAPOLIS IN
46240-7751
US

V. Phone/Fax

Practice location:
  • Phone: 317-442-0166
  • Fax:
Mailing address:
  • Phone: 317-442-0166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY THOMPSON
Title or Position: COO
Credential:
Phone: 317-566-8320