Healthcare Provider Details

I. General information

NPI: 1659026284
Provider Name (Legal Business Name): CATER TO YOU HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2022
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3142 E MAIN ST
PLAINFIELD IN
46168-2721
US

IV. Provider business mailing address

1681 EXPO LN STE D
INDIANAPOLIS IN
46214-4310
US

V. Phone/Fax

Practice location:
  • Phone: 317-742-9240
  • Fax: 317-458-2467
Mailing address:
  • Phone: 317-742-9240
  • Fax: 317-458-2467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: CARMELITA SMITH
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 317-742-9240