Provider Demographics
NPI:1568226108
Name:INDRENI HOME CARE LLC
Entity Type:Organization
Organization Name:INDRENI HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHEM
Authorized Official - Middle Name:
Authorized Official - Last Name:KATWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-329-6419
Mailing Address - Street 1:490 LOCKMEAD DR
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-7361
Mailing Address - Country:US
Mailing Address - Phone:614-329-6419
Mailing Address - Fax:
Practice Address - Street 1:490 LOCKMEAD DR
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-7361
Practice Address - Country:US
Practice Address - Phone:614-329-6419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care