MEDICARE: TANGO CHARLIE ENTERPRISES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251B00000X	Case Management Agency
3	251E00000X	Home Health Agency
4	343900000X	Non-emergency Medical Transport (VAN)
5	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1568286706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TANGO CHARLIE ENTERPRISES

Provider Business Mailing Address
First Line	:	3410 N HIGH SCHOOL RD STE G
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-1100
Country	:	US
Telephone Number	:	317-526-0943
Fax Number	:

Provider Business Practice Location Address
First Line	:	3410 N HIGH SCHOOL RD STE G
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-1100
Country	:	US
Telephone Number	:	317-526-0943
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	CHARLES BOOKER
Credential	:	3S,3X, SSGT, USAF
Telephone Number	:	317-955-5845

Provider Enumeration Date	:	11/14/2024
Last Update Date	:	11/14/2024

Similar Medicare Providers

1154171874 — ASHLYN CISZAR
Practice Location Address:

3410 N HIGH SCHOOL RD STE G
INDIANAPOLIS, IN
46224-1100

Practice Phone: 317-296-3771
Practice Fax:

1003988692 — DR. STEVEN M LENOS
Practice Location Address:

3410 N HIGH SCHOOL RD STE B
INDIANAPOLIS, IN
46224-1100

Practice Phone: 317-291-8957
Practice Fax: 317-291-5114

1568518314 — IRWIN B. MALAMENT DPM A PROFESSIONAL CORPORATION
Practice Location Address:

3410 N HIGH SCHOOL RD STE C
INDIANAPOLIS, IN
46224-1100

Practice Phone: 317-299-2644
Practice Fax: 317-328-8914

1336832427 — MONICA HILL
Practice Location Address:

3410 N HIGH SCHOOL RD STE G
INDIANAPOLIS, IN
46224-1100

Practice Phone: 317-410-8364
Practice Fax:

1386484533 — KRYSTAL LYNN LEWIS NP
Practice Location Address:

3410 N HIGH SCHOOL RD STE G
INDIANAPOLIS, IN
46224-1100

Practice Phone: 317-721-8679
Practice Fax:

1598571317 — BLUE MOUNTAIN ABA LLC
Practice Location Address:

3410 N HIGH SCHOOL RD STE G
INDIANAPOLIS, IN
46224-1100

Practice Phone: 516-427-9582
Practice Fax:

Directions to “TANGO CHARLIE ENTERPRISES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.