Healthcare Provider Details

I. General information

NPI: 1013604875
Provider Name (Legal Business Name): CAAMD ADULT & FAMILY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2023
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5935 E 27TH ST
INDIANAPOLIS IN
46218-3311
US

IV. Provider business mailing address

5625 N GERMAN CHURCH RD # 3262
INDIANAPOLIS IN
46235-8513
US

V. Phone/Fax

Practice location:
  • Phone: 317-667-7595
  • Fax:
Mailing address:
  • Phone: 317-667-7595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAQUISHA LLOYD
Title or Position: DIRECTOR
Credential:
Phone: 317-667-7595