Healthcare Provider Details

I. General information

NPI: 1386160745
Provider Name (Legal Business Name): ALLIED HOME SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2017
Last Update Date: 02/17/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2942 COOPERLAND CT
INDIANAPOLIS IN
46268-5034
US

IV. Provider business mailing address

PO BOX 781213
INDIANAPOLIS IN
46278-8213
US

V. Phone/Fax

Practice location:
  • Phone: 317-523-8500
  • Fax: 317-922-0850
Mailing address:
  • Phone: 317-523-8500
  • Fax: 317-922-0850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE MATTINGLY
Title or Position: OWNER
Credential:
Phone: 317-523-8500