Healthcare Provider Details

I. General information

NPI: 1447464177
Provider Name (Legal Business Name): TODD'S COMPANIONPLUS OF IN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6249 JUSTINS RIDGE RD
NASHVILLE IN
47448-9035
US

IV. Provider business mailing address

6249 JUSTINS RIDGE RD
NASHVILLE IN
47448-9035
US

V. Phone/Fax

Practice location:
  • Phone: 178-857-3373
  • Fax: 888-675-3118
Mailing address:
  • Phone: 317-885-7337
  • Fax: 888-675-3118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM TODD
Title or Position: OWNER
Credential:
Phone: 317-885-7337