Provider Demographics
NPI:1619351327
Name:BOILER GROUP LLC
Entity Type:Organization
Organization Name:BOILER GROUP LLC
Other - Org Name:HOME INSTEAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:SEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-252-4472
Mailing Address - Street 1:941 E 86TH ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1861
Mailing Address - Country:US
Mailing Address - Phone:317-252-4472
Mailing Address - Fax:
Practice Address - Street 1:941 E 86TH ST
Practice Address - Street 2:SUITE 250
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1861
Practice Address - Country:US
Practice Address - Phone:317-252-4472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care