Provider Demographics
NPI:1639986474
Name:ANNIE MAE CARING HANDS LLC
Entity type:Organization
Organization Name:ANNIE MAE CARING HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:SHERIDAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:463-252-1507
Mailing Address - Street 1:55 S STATE AVE STE 119
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46201-3827
Mailing Address - Country:US
Mailing Address - Phone:463-253-1507
Mailing Address - Fax:
Practice Address - Street 1:55 S STATE AVE STE 119
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46201-3827
Practice Address - Country:US
Practice Address - Phone:463-253-1507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care