Provider Demographics
NPI:1972249951
Name:TESMAC LLC
Entity Type:Organization
Organization Name:TESMAC LLC
Other - Org Name:HOME CARE FOR THE 21ST CENTURY - NORTH INDIANAPOLIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-665-1778
Mailing Address - Street 1:5455 W 86TH ST STE 235
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-1538
Mailing Address - Country:US
Mailing Address - Phone:765-336-8228
Mailing Address - Fax:
Practice Address - Street 1:5455 W 86TH ST STE 235
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1538
Practice Address - Country:US
Practice Address - Phone:765-336-8228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care