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Organization

AGANZE HOME CARE LLC

Active
Parent organization
GRACE PARK CARE SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
GRACE PARK CARE SERVICES
Authorized official
AGANZE NSHOMBO NSHOMBO (OWNER)
(317) 556-7930
Entity
Organization

Contact information

Practice address
6166 COOPER RD, INDIANAPOLIS, IN 46228-1166
(317) 556-7930
(317) 556-7930
Mailing address
6166 COOPER RD, INDIANAPOLIS, IN 46228-1166
(317) 556-7930
(317) 556-7930

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163WA2000X
Administrator Registered Nurse
163WH0200X
Home Health Registered Nurse
Primary
171M00000X
Case Manager/Care Coordinator
251C00000X
Developmentally Disabled Services Day Training Agency
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide

Other

Enumeration date
02/02/2026
Last updated
02/05/2026
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