Healthcare Provider Details

I. General information

NPI: 1487462156
Provider Name (Legal Business Name): AMIABLE HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7155 SHADELAND STA STE 190
INDIANAPOLIS IN
46256-3922
US

IV. Provider business mailing address

7155 SHADELAND STA STE 190
INDIANAPOLIS IN
46256-3922
US

V. Phone/Fax

Practice location:
  • Phone: 317-802-1746
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY SMITH
Title or Position: OWNER
Credential:
Phone: 317-802-1746