Provider Demographics
NPI:1841018314
Name:ENTOUCH HOMECARE AND WELLNESS LLC.
Entity type:Organization
Organization Name:ENTOUCH HOMECARE AND WELLNESS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAVEN
Authorized Official - Middle Name:SYMONE
Authorized Official - Last Name:THURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:317-496-1043
Mailing Address - Street 1:6428 BOWER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46241-1861
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:959 N SHERMAN DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46201-2529
Practice Address - Country:US
Practice Address - Phone:317-934-9211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty