Provider Demographics
NPI:1063207165
Name:RESTORATIVE PERSONAL CARE SERVICES
Entity type:Organization
Organization Name:RESTORATIVE PERSONAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-809-7914
Mailing Address - Street 1:6101 N KEYSTONE AVE STE 1001140
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2488
Mailing Address - Country:US
Mailing Address - Phone:317-809-7914
Mailing Address - Fax:
Practice Address - Street 1:6125 N RURAL ST APT 5322
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-0416
Practice Address - Country:US
Practice Address - Phone:317-909-4220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care