Healthcare Provider Details

I. General information

NPI: 1922984525
Provider Name (Legal Business Name): BUNDLES OF SWEETZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6030 E 42ND ST
INDIANAPOLIS IN
46226-4910
US

IV. Provider business mailing address

6030 E 42ND ST
INDIANAPOLIS IN
46226-4910
US

V. Phone/Fax

Practice location:
  • Phone: 317-668-6535
  • Fax: 317-668-6535
Mailing address:
  • Phone: 317-668-6535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: KEYONNA WILSON
Title or Position: CEO
Credential: HHA/CNA/QMA/LPN/RN
Phone: 317-668-6535