Provider Demographics
NPI:1780832345
Name:P & P HOME SERVICES, LLC
Entity Type:Organization
Organization Name:P & P HOME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:BEDDI
Authorized Official - Last Name:YEHDHIH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-418-0882
Mailing Address - Street 1:PO BOX 441730
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46244-1730
Mailing Address - Country:US
Mailing Address - Phone:317-418-0882
Mailing Address - Fax:317-869-0027
Practice Address - Street 1:5508 E 16TH ST
Practice Address - Street 2:SUITE C-16
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-4936
Practice Address - Country:US
Practice Address - Phone:317-418-0882
Practice Address - Fax:317-869-0027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN201008420A251C00000X
IN2401735525343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200904950AMedicaid