Provider Demographics
NPI:1821072240
Name:C & D SERVICES OF INDIANA INC
Entity Type:Organization
Organization Name:C & D SERVICES OF INDIANA INC
Other - Org Name:COMMUNITY HOME HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:WARNOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-745-0505
Mailing Address - Street 1:7 MANOR DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:DANVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46122-9400
Mailing Address - Country:US
Mailing Address - Phone:317-745-0505
Mailing Address - Fax:317-745-5800
Practice Address - Street 1:7 MANOR DR
Practice Address - Street 2:SUITE A
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-9400
Practice Address - Country:US
Practice Address - Phone:317-745-0505
Practice Address - Fax:317-745-5800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1043020001Medicare ID - Type Unspecified
IN1043020001Medicare NSC