=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124368865
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MEDICAREER SOLUTIONS SPECIALISTS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/16/2013
-----------------------------------------------------
Last Update Date | 02/16/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2301 N NEW JERSEY ST
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46205-4337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-294-6636
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2301 N NEW JERSEY ST
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46205-4337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-294-6636
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/RECRUITING SPECIALIST
-----------------------------------------------------
Name | DR. ARIAL RENEE BURRUS
-----------------------------------------------------
Credential | PHARMD
-----------------------------------------------------
Telephone | 317-294-6636
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------