Provider Demographics
NPI:1780832345
Name:P & P HOME SERVICES, LLC
Entity type:Organization
Organization Name:P & P HOME SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:BEDDY
Authorized Official - Last Name:OULD YEHDHIH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-591-9234
Mailing Address - Street 1:8012 E 10TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-5211
Mailing Address - Country:US
Mailing Address - Phone:317-591-9234
Mailing Address - Fax:317-591-9244
Practice Address - Street 1:8012 E 10TH ST STE B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-5211
Practice Address - Country:US
Practice Address - Phone:317-591-9234
Practice Address - Fax:317-591-9244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN201008420A251C00000X
320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200904950BMedicaid
IN200904950AMedicaid