Provider Demographics
NPI:1457719163
Name:DOCTORS TO HOME LLC
Entity Type:Organization
Organization Name:DOCTORS TO HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGIREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-214-2100
Mailing Address - Street 1:1119 KEYSTONE WAY STE 117C
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3356
Mailing Address - Country:US
Mailing Address - Phone:317-214-2100
Mailing Address - Fax:317-214-2101
Practice Address - Street 1:1119 KEYSTONE WAY STE 117C
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3356
Practice Address - Country:US
Practice Address - Phone:317-214-2100
Practice Address - Fax:317-214-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201346330AMedicaid