Provider Demographics
NPI:1386106847
Name:CARE INDY
Entity type:Organization
Organization Name:CARE INDY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:FINOTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASFAW
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:317-529-2235
Mailing Address - Street 1:2827 SADDLE BARN EAST DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-1547
Mailing Address - Country:US
Mailing Address - Phone:317-529-2235
Mailing Address - Fax:862-298-0777
Practice Address - Street 1:2827 SADDLE BARN EAST DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-1547
Practice Address - Country:US
Practice Address - Phone:317-529-2235
Practice Address - Fax:862-298-0777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty