Provider Demographics
NPI:1700570587
Name:CAREGIVER SUPPORT OF INDIANA
Entity Type:Organization
Organization Name:CAREGIVER SUPPORT OF INDIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGARUIYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-888-2166
Mailing Address - Street 1:333 N ALABAMA ST STE 350
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-2275
Mailing Address - Country:US
Mailing Address - Phone:833-888-2166
Mailing Address - Fax:866-997-9581
Practice Address - Street 1:333 N ALABAMA ST STE 350
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-2275
Practice Address - Country:US
Practice Address - Phone:833-888-2166
Practice Address - Fax:866-997-9581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-06
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty