Provider Demographics
NPI:1063565414
Name:TODDS COMPANION PLUS OF IN LLC
Entity type:Organization
Organization Name:TODDS COMPANION PLUS OF IN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATION CNA
Authorized Official - Phone:317-885-7337
Mailing Address - Street 1:1111 RAMBLIN COURT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-8344
Mailing Address - Country:US
Mailing Address - Phone:317-885-7337
Mailing Address - Fax:262-842-0199
Practice Address - Street 1:1111 RAMBLIN CT
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-8344
Practice Address - Country:US
Practice Address - Phone:317-885-7337
Practice Address - Fax:262-842-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health