Provider Demographics
NPI:1689260333
Name:TINOCARE
Entity Type:Organization
Organization Name:TINOCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TINOTENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINEMBIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-340-8818
Mailing Address - Street 1:230 S PERRY RD # 1024
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-2735
Mailing Address - Country:US
Mailing Address - Phone:317-340-8818
Mailing Address - Fax:
Practice Address - Street 1:10916 VANGUARD LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46234-1275
Practice Address - Country:US
Practice Address - Phone:317-340-8818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health