Provider Demographics
NPI:1366248718
Name:PAIGE HOME HEALTH CARE
Entity type:Organization
Organization Name:PAIGE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAKISHA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:PAIGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-426-5876
Mailing Address - Street 1:PO BOX 18016
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46218-0016
Mailing Address - Country:US
Mailing Address - Phone:317-426-5876
Mailing Address - Fax:
Practice Address - Street 1:4806 E 30TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-3110
Practice Address - Country:US
Practice Address - Phone:317-426-5876
Practice Address - Fax:317-426-2168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health