Organization
HOME CARE ON DEMAND LLC
Active
Other names
Home Care on Demand
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE SHARESE WYNNE CNA (MANAGER/ADMINISTRATOR)
(317) 741-3721
Entity
Organization
Contact information
Practice address
9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
(317) 805-4703
(317) 805-4708
Mailing address
9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
(317) 805-4703
(317) 805-4708
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/15/2019
Last updated
10/22/2020
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