Healthcare Provider Details

I. General information

NPI: 1013029321
Provider Name (Legal Business Name): CENTRAL SENIORS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7399 N SHADELAND AVE #125
INDIANAPOLIS IN
46250-2052
US

IV. Provider business mailing address

7399 N SHADELAND AVE #125
INDIANAPOLIS IN
46250-2052
US

V. Phone/Fax

Practice location:
  • Phone: 317-598-8880
  • Fax:
Mailing address:
  • Phone: 317-598-8880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number StateTX

VIII. Authorized Official

Name: LINDA STARR
Title or Position: DIRECTOR
Credential:
Phone: 317-598-8880