<Unavail>

LBN: Suzy Q Service Cororation
<Unavail> is an health care organization with primary practice located at 2401 N Tibbs Ave , Indianapolis IN 46222. The organization recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Nursing Service Related Providers / Chore Provider. Agencies / In Home Supportive Care is the primary health care specialty. Suzy Q Service Cororation can be contacted via phone (317) 955-7567, or through Moffitt, Suzett via phone (317) 755-7664.

Contact Information

Primary practice address
2401 N Tibbs Ave Indianapolis IN 46222
Phone: (317) 955-7567
Fax: (317) 955-7567
Website:
Map and Directions
Authorized official contact:
Name: Moffitt, Suzett
Phone: (317) 755-7664

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 130130671 Indiana
Nursing Service Related Providers / Chore Provider 372500000X 18-013067-1 Indiana

Profile Details

NPI number 1780025163
LBN Legal business name Suzy Q Service Cororation
DBA Doing business as <Unavail>
Authorized official Moffitt, Suzett
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2013
Last updated Aug 28th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780025163 NPPES
Indiana Other 18-013067-1 INDIANA STATE DEPARTMENT OF HEALTH/PERSONAL SERVICE AGENCY
Indiana MEDICAID 201172830A INDIANA STATE DEPARTMENT OF HEALTH/PERSONAL SERVICE AGENCY

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