Provider Demographics
NPI:1730790536
Name:CONFIDENCE PERSONAL HOMECARE SERVICES, LLC
Entity type:Organization
Organization Name:CONFIDENCE PERSONAL HOMECARE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILLIAR
Authorized Official - Middle Name:C
Authorized Official - Last Name:FARLEY-UKUTE
Authorized Official - Suffix:
Authorized Official - Credentials:PROVIDER
Authorized Official - Phone:317-486-3779
Mailing Address - Street 1:6804 THOUSAND OAKS DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-3275
Mailing Address - Country:US
Mailing Address - Phone:317-982-4221
Mailing Address - Fax:
Practice Address - Street 1:6804 THOUSAND OAKS DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-3275
Practice Address - Country:US
Practice Address - Phone:317-982-4221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health