Provider Demographics
NPI:1891554853
Name:ALLEGRO CONCIERGE CARE LLC
Entity Type:Organization
Organization Name:ALLEGRO CONCIERGE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:III
Authorized Official - Credentials:HFA
Authorized Official - Phone:317-293-0377
Mailing Address - Street 1:1480 E BARISTO RD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-0111
Mailing Address - Country:US
Mailing Address - Phone:317-293-0377
Mailing Address - Fax:317-449-0889
Practice Address - Street 1:1205 SAINT PAUL ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-2127
Practice Address - Country:US
Practice Address - Phone:317-293-0377
Practice Address - Fax:317-449-0889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300081757Medicaid