Healthcare Provider Details

I. General information

NPI: 1386106847
Provider Name (Legal Business Name): CARE INDY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2827 SADDLE BARN EAST DR
INDIANAPOLIS IN
46214-1547
US

IV. Provider business mailing address

2827 SADDLE BARN EAST DR
INDIANAPOLIS IN
46214-1547
US

V. Phone/Fax

Practice location:
  • Phone: 317-529-2235
  • Fax: 862-298-0777
Mailing address:
  • Phone: 317-529-2235
  • Fax: 862-298-0777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FINOTE ASFAW
Title or Position: NP
Credential: NP
Phone: 317-529-2235