NPI Registry.org

Mama Annie's Home Care Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
MAMA ANNIE'S HOME CARE LLC19227173962022-11-15

The organization Mama Annie's Home Care Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1922717396. Registration indicates Mama Annie's Home Care Llc is a provider of services with a specialization in Technician: Personal Care Attendant (Nursing Service Related Providers, Technician) (Technician Personal Care Attendant, Nursing Service Related Providers) (Technician, )

Other Names:
Entity TypeOrganization
Provider OrganizationMAMA ANNIE'S HOME CARE LLC
Other Provider OrganizationMAMA ANNIES HOME CARE LLC
Practice Office Address9165 OTIS AVE STE 110
INDIANAPOLIS, IN US
Practice Office Telephone3176579116
Practice Office Fax3173338027
Mailing Address9165 OTIS AVE STE 110
INDIANAPOLIS, IN 462162307 US
Business Telephone3176579116
Business Fax3173338027
Authorized OfficialTALISHA T WILSON, OWNER
3176579116
HPT Codes
CodePractice
License No
State
3747P1801X PRIMARY
Technician: Personal Care Attendant

Nursing Service Related Providers
Technician
Technician Personal Care Attendant
Nursing Service Related Providers
Technician
OPI Codes
300039776 MEDICAID IN
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