MEDICARE: VANNUCHI LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	3747A0650X	Attendant Care Provider
3	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1780550384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VANNUCHI LLC

Provider Business Mailing Address
First Line	:	1846 SOUTHERNWOOD LN
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46231-5210
Country	:	US
Telephone Number	:	317-560-4451
Fax Number	:

Provider Business Practice Location Address
First Line	:	1846 SOUTHERNWOOD LN
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46231-5210
Country	:	US
Telephone Number	:	317-560-4451
Fax Number	:

Authorized Official
Title or Position	:	MD/CEO
Name	:	OBIANUJU NDUBUOKWU
Credential	:
Telephone Number	:	317-560-4451

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	12/26/2025

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Directions to “VANNUCHI LLC ” Practice Location

Language	Start Address	Practice Location

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