Provider Demographics
NPI:1376346312
Name:GRAYS CARE AND WELLNESS
Entity type:Organization
Organization Name:GRAYS CARE AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MECOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-579-5419
Mailing Address - Street 1:9964 WORTHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-3070
Mailing Address - Country:US
Mailing Address - Phone:317-579-5419
Mailing Address - Fax:317-579-5419
Practice Address - Street 1:9964 WORTHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-3070
Practice Address - Country:US
Practice Address - Phone:317-579-5419
Practice Address - Fax:317-579-5419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health