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Organization
CHESTNUT HILL INDIANA LLC
Active
Organization
CHESTNUT HILL INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTON PUKHOVITSKY (DIRECTOR)
(978) 828-8887
Entity
Organization
Contact information
Practice address
9511 ANGOLA CT STE 207, INDIANAPOLIS, IN 46268-3193
(978) 828-8887
Mailing address
9511 ANGOLA CT STE 207, INDIANAPOLIS, IN 46268-3193
(978) 828-8887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163WH0200X
Home Health Registered Nurse
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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