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CICOA AGING & IN HOME SOLUTIONS INC NPI 1275608713


NPI Information

NPI: 1275608713
Provider Name: CICOA AGING & IN HOME SOLUTIONS INC
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
8440 WOODFIELD CROSSING BLVD STE 175
INDIANAPOLIS, IN
ZIP 46240
Phone: (317) 254-5465
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CICOA AGING & IN HOME SOLUTIONS INC is a dietitian registered in Indianapolis, IN. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. CICOA AGING & IN HOME SOLUTIONS INC NPI is 1275608713. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8440 WOODFIELD CROSSING BLVD STE 175
INDIANAPOLIS, IN
ZIP 46240-359
Phone: (317) 254-5465
Fax: (317) 254-5494

The provider's authorized official is Tauhric Brown .
The authorized official title is President And Ceo and has the following contact phone number (317) 803-6010.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 11/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133N00000XNutritionistNo
2133NN1002XNutritionistNutrition, EducationNo
3133VN1005XDietitian, RegisteredNutrition, RenalNo
4133VN1006XDietitian, RegisteredNutrition, MetabolicNo
5133VN1101XDietitian, RegisteredNutrition, GerontologicalNo
6133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo
7171M00000XCase Manager/Care CoordinatorINDIANANo
8171M00000XCase Manager/Care CoordinatorNo
9133V00000XDietitian, RegisteredYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100107990AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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