Provider Demographics
NPI:1154296861
Name:T&N PRESTIGIOUS CARE HOME HEALTH AGENCY
Entity type:Organization
Organization Name:T&N PRESTIGIOUS CARE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CURTRINA
Authorized Official - Middle Name:LA'SHANA
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-945-6542
Mailing Address - Street 1:1220 WATERWAY BLVD STE H179
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2157
Mailing Address - Country:US
Mailing Address - Phone:463-249-9630
Mailing Address - Fax:
Practice Address - Street 1:1220 WATERWAY BLVD STE H179
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2157
Practice Address - Country:US
Practice Address - Phone:463-249-9630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health