Healthcare Provider Details

I. General information

NPI: 1477120624
Provider Name (Legal Business Name): ADVANTAGE POINT HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 07/14/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1238 RACQUET CLUB SOUTH DR APT A
INDIANAPOLIS IN
46260-1137
US

IV. Provider business mailing address

1238 RACQUET CLUB SOUTH DR APT A
INDIANAPOLIS IN
46260-1137
US

V. Phone/Fax

Practice location:
  • Phone: 317-809-5387
  • Fax:
Mailing address:
  • Phone: 317-809-5387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. DANIELLE PARKS
Title or Position: CEO
Credential:
Phone: 317-809-5387