Provider Demographics
NPI:1376817981
Name:TPS CAREGIVING LLC
Entity Type:Organization
Organization Name:TPS CAREGIVING LLC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-788-0777
Mailing Address - Street 1:1335 SADLIER CIRCLE EAST DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-1051
Mailing Address - Country:US
Mailing Address - Phone:317-788-0777
Mailing Address - Fax:317-780-0767
Practice Address - Street 1:1335 SADLIER CIRCLE EAST DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-1051
Practice Address - Country:US
Practice Address - Phone:317-788-0777
Practice Address - Fax:317-780-0767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-28
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN13-011960-1253Z00000X
IN13-013272-2251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN13-011960-1OtherINDIANA STATE DEPARTMENT OF HEALTH
IN13-013272-2OtherINDIANA STATE DEPARTMENT OF HEALTH
IN201066760AMedicaid