# PATIENT CARE SERVICES TEAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962822106
- **Authorized official:** DANIEL HOLLIS (OWNER)
- **Authorized official phone:** (317) 744-5368

## Contact information

- **Practice address:** 939 CONNER ST STE 200, NOBLESVILLE, IN 46060-2622
- **Practice address phone:** (317) 219-7588
- **Mailing address:** 10505 HAWKS RIDGE CT, FISHERS, IN 46037-9258
- **Mailing address phone:** (317) 730-4910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2014
- **Last updated:** 08/30/2019