Healthcare Provider Details

I. General information

NPI: 1568349892
Provider Name (Legal Business Name): DIVINE PURPOSE CARE ADULT DAY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5726 PROFESSIONAL CIR STE 201
INDIANAPOLIS IN
46241-5012
US

IV. Provider business mailing address

5726 PROFESSIONAL CIR STE 201
INDIANAPOLIS IN
46241-5012
US

V. Phone/Fax

Practice location:
  • Phone: 317-417-2689
  • Fax: 317-659-7772
Mailing address:
  • Phone: 317-417-2689
  • Fax: 317-659-7772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOYCELYNN MARSHALL
Title or Position: ADMINISTRATOR
Credential:
Phone: 317-417-2689