# CHARLII'S ANGELS HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charlii's Angels Home Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811734031
- **Authorized official:** MS. DAWNISHA T ELDRIDGE (OWNER)
- **Authorized official phone:** (317) 939-8441

## Contact information

- **Practice address:** 304 PARK CREEK LN, FORTVILLE, IN 46040-0075
- **Practice address phone:** (317) 939-8441
- **Mailing address:** 7584 PENNYCROFT DR, INDIANAPOLIS, IN 46236-8758
- **Mailing address phone:** (317) 939-8441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253J00000X | Foster Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 373H00000X | Day Training/Habilitation Specialist | — | NULL | — |
| 373H00000X | Day Training/Habilitation Specialist | — | — | — |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 07/15/2024
- **Last updated:** 08/26/2024
