MEDICARE: TOYOSI ODIDI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	250191291	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093665994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOYOSI ODIDI

Provider Business Mailing Address
First Line	:	5625 SUNNYSIDE RD SUITE 1033
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-8013
Country	:	US
Telephone Number	:	401-548-8803
Fax Number	:	317-855-1976

Provider Business Practice Location Address
First Line	:	5625 SUNNYSIDE RD SUITE 1033
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-8013
Country	:	US
Telephone Number	:	401-548-8803
Fax Number	:	317-855-1976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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Directions to “ TOYOSI ODIDI ” Practice Location

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