National Provider Identifier Database

CATHOLIC CHARITIES INDPLS INC
Respite Care


Contact Information

CATHOLIC CHARITIES INDPLS, INC
4609 N. CAPITAL AVE
INDIANAPOLIS, IN46208
Phone: 317-466-0015
Fax: 317-261-3375
Website:
Specialty Taxonomy Code
* Respite Care 385H00000X
Adult Day Care 261QA0600X

* Indicates primary specialty

NPI Profile & details for CATHOLIC CHARITIES INDPLS, INC

NPI Number 1629136924
Legal business name
LBN
CATHOLIC CHARITIES INDPLS, INC
Authorized official DAVID BETHURAM - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/05/2006
Last updated 03/15/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 200068100A
  • IN Medicaid: 200068110B

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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