Healthcare Provider Details

I. General information

NPI: 1982596714
Provider Name (Legal Business Name): BITNOJ HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

5822 LONG LAKE LN
INDIANAPOLIS IN
46235-6127
US

IV. Provider business mailing address

5822 LONG LAKE LN
INDIANAPOLIS IN
46235-6127
US

V. Phone/Fax

Practice location:
  • Phone: 463-274-7044
  • Fax:
Mailing address:
  • Phone: 463-274-7044
  • 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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. DARRICK THAMES
Title or Position: OWNER
Credential:
Phone: 473-274-7044