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NPI Code Detail

MEDICARE: ENTRUST HEALTH SERVICES, INC.

MEDICARE: ENTRUST HEALTH SERVICES, INC.
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
1251G00000XCommunity Based Hospice Care Agency080033131IN
2251G00000XCommunity Based Hospice Care Agency05003313-1IN

Other Identifiers

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

General Provider Information

NPI Number : 1376538652
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENTRUST HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 1100 W 42ND ST
Second Line : SUITE 225
City : INDIANAPOLIS
State : IN
Zip : 46208-3346
Country : US
Telephone Number : 317-275-2377
Fax Number : 317-275-2378
Provider Business Practice Location Address
First Line : 1100 W 42ND ST
Second Line : SUITE 225
City : INDIANAPOLIS
State : IN
Zip : 46208-3346
Country : US
Telephone Number : 317-275-2377
Fax Number : 317-275-2378
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. PHEBE SMITH
Credential :
Telephone Number : 317-275-2377
Provider Enumeration Date : 09/13/2005
Last Update Date : 10/23/2014

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Directions to “ENTRUST HEALTH SERVICES, INC. ” Practice Location

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