Organization
SPP ENTERPRISE LLC DBA DYNAMIC HOME CARE SERVICES
Active
Other names
Dynamic Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEMETRIA HOLT (CO-OWNER)
(463) 600-9323
Entity
Organization
Contact information
Practice address
5625 SUNNYSIDE RD SUITE 105, INDIANAPOLIS, IN 46235
(463) 600-9323
Mailing address
5625 N SUNNYSIDE RD SUITE 105, INDIANAPOLIS, IN 46235-8513
(463) 600-9323
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300100219
—
IN
Enumeration date
06/11/2024
Last updated
12/18/2025
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