# C & C IN HOME ASSISTANCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ComForcare Senior Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588976138
- **Authorized official:** MR. CHARLES DEREK SMILEY CSA (OWNER/PRESIDENT)
- **Authorized official phone:** (317) 270-9540

## Contact information

- **Practice address:** 610 N HIGH SCHOOL RD, SUITE B, INDIANAPOLIS, IN 46214-3671
- **Practice address phone:** (317) 270-9540
- **Practice address fax:** (317) 270-9541
- **Mailing address:** 610 N HIGH SCHOOL RD, SUITE B, INDIANAPOLIS, IN 46214-3671
- **Mailing address phone:** (317) 270-9540
- **Mailing address fax:** (317) 270-9541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 10-012136-1 | IN | Yes |

## Other

- **Enumeration date:** 07/12/2010
- **Last updated:** 07/12/2010
