Provider Demographics
NPI:1437947157
Name:JOYFILLED CARE LLC
Entity type:Organization
Organization Name:JOYFILLED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADEBOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSTAPHA SAMUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-978-2586
Mailing Address - Street 1:3519 AYLESFORD LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46228-2871
Mailing Address - Country:US
Mailing Address - Phone:312-978-2586
Mailing Address - Fax:
Practice Address - Street 1:3519 AYLESFORD LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46228-2871
Practice Address - Country:US
Practice Address - Phone:312-978-2586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care