Healthcare Provider Details

I. General information

NPI: 1760229306
Provider Name (Legal Business Name): TOI'S COMPASSIONATE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2024
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9101 WESLEYAN RD STE 301
INDIANAPOLIS IN
46268-3187
US

IV. Provider business mailing address

9101 WESLEYAN RD STE 301
INDIANAPOLIS IN
46268-3187
US

V. Phone/Fax

Practice location:
  • Phone: 317-974-9102
  • Fax: 626-270-5322
Mailing address:
  • Phone: 317-974-9102
  • Fax: 626-270-5322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: TORI BUCKNER
Title or Position: CEO
Credential:
Phone: 317-974-9102