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SUZY Q SERVICE CORORATION NPI 1780025163


NPI Information

NPI: 1780025163
Provider Name: SUZY Q SERVICE CORORATION

Doing Business As: SUZY Q CLEANING SERVICE LLC & PERSONAL SERVICE AGENCY

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
2401 N TIBBS AVE
INDIANAPOLIS, IN
ZIP 46222
Phone: (317) 955-7567
Get Directions

SUZY Q SERVICE CORORATION is an in home supportive care in Indianapolis, IN. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. SUZY Q SERVICE CORORATION NPI is 1780025163. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Suzy Q Cleaning Service Llc & Personal Service Agency.

The provider's business location address is:

2401 N TIBBS AVE
INDIANAPOLIS, IN
ZIP 46222
Phone: (317) 955-7567
Fax: (317) 955-7567

The provider's authorized official is Suzett Moffitt .
The authorized official title is President and has the following contact phone number (317) 755-7664.

The enumeration date for this NPI number is 7/12/2013 and was last updated on 8/28/2018.


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
1372500000XChore Provider18-013067-1INDIANANo
2253Z00000XIn Home Supportive Care130130671INDIANAYes

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
118-013067-1OTHERINDIANAINDIANA STATE DEPARTMENT OF HEALTH/PERSONAL SERVICE AGENCY
2201172830AMEDICAIDINDIANA

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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