Healthcare Provider Details

I. General information

NPI: 1891620365
Provider Name (Legal Business Name): A CALL AWAY HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6008 MAGDALENE DR APT B
INDIANAPOLIS IN
46224-8055
US

IV. Provider business mailing address

6008 MAGDALENE DR APT B
INDIANAPOLIS IN
46224-8055
US

V. Phone/Fax

Practice location:
  • Phone: 317-835-3777
  • Fax:
Mailing address:
  • Phone: 317-835-3777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: KIESHA CARLISLE
Title or Position: OWNER
Credential:
Phone: 317-384-9962