Organization
HOME CARE ON DEMAND LLC
Active
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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