Provider Demographics
NPI:1811242290
Name:ALWAYS THERE PERSONAL CARE SERVICE LLC
Entity type:Organization
Organization Name:ALWAYS THERE PERSONAL CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:LASHAIR
Authorized Official - Last Name:BUCKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-828-6310
Mailing Address - Street 1:8745 RAWLES AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-7800
Mailing Address - Country:US
Mailing Address - Phone:317-828-6310
Mailing Address - Fax:317-802-7206
Practice Address - Street 1:8745 RAWLES AVE
Practice Address - Street 2:SUITE E
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-7800
Practice Address - Country:US
Practice Address - Phone:317-828-6310
Practice Address - Fax:317-802-7206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12-012939253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care