Healthcare Provider Details

I. General information

NPI: 1710706312
Provider Name (Legal Business Name): ELAINE'S TRUE COMPANIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6214 MORENCI TRL STE 210
INDIANAPOLIS IN
46268-4826
US

IV. Provider business mailing address

6214 MORENCI TRL STE 210
INDIANAPOLIS IN
46268-4826
US

V. Phone/Fax

Practice location:
  • Phone: 317-945-9306
  • Fax:
Mailing address:
  • Phone: 317-945-9306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: ELAINE'S TRUE COMPANIONS
Title or Position: OWNER
Credential:
Phone: 317-945-9306