Provider Demographics
NPI:1417773490
Name:AXCESS HOME HEALTHCARE OF INDIANA
Entity type:Organization
Organization Name:AXCESS HOME HEALTHCARE OF INDIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-749-9949
Mailing Address - Street 1:10100 LANTERN RD STE 225
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9692
Mailing Address - Country:US
Mailing Address - Phone:317-288-7937
Mailing Address - Fax:317-288-0649
Practice Address - Street 1:10100 LANTERN RD STE 225
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9692
Practice Address - Country:US
Practice Address - Phone:317-288-7937
Practice Address - Fax:317-288-0649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health