CICOA AGING & IN HOME SOLUTIONS


Address: 4755 Kingsway Dr, Suite 200, Indianapolis, IN 46205-1549
Phone: 3172545465

CICOA AGING & IN HOME SOLUTIONS (NPI# 1275608713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275608713
Entity Type Organization
Organization Name CICOA AGING & IN HOME SOLUTIONS
Practice Address 4755 Kingsway Dr
Suite 200
Indianapolis
IN 46205-1549
Practice Telephone 3172545465
Practice Fax Number 3172545488
Mailing Telephone 3172545465
Mailing Fax Number 3172545488
Enumeration Date 2006-11-21
Last Update Date 2020-08-22
Authorized Official Name MR. THOMAS L OTTO (CHIEF OPERATING OFFICE)
Authorized Official Telephone 3178036017
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator IN Other Service Providers

Office Location

Street Address 4755 KINGSWAY DR
SUITE 200
City INDIANAPOLIS
State IN
Zip Code 46205-1549

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255389706 David Heidenreich Social Worker 4755 Kingsway Dr, Suite 2, Indianapolis, IN 46205-1549 2006-05-05
1437756889 Dustie L Goldsmith Social Worker 4755 Kingsway Dr, Indianapolis, IN 46205-1549 2020-10-07
1144624040 The Milk Bank, Inc. Medical Foods Supplier 4755 Kingsway Dr, Suite 120, Indianapolis, IN 46205-1549 2014-10-21
1558489518 Pyramid Consulting Services, Inc. Counselor 4755 Kingsway Dr, 329, Indianapolis, IN 46205-1549 2007-03-27
1760528665 Caregivers 2, Inc. Home Health 4755 Kingsway Dr, Suite 101, Indianapolis, IN 46205-1549 2007-01-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003383233 Bombeauty Supply and Salon Durable Medical Equipment & Medical Supplies 3010 Lake Shore Dr Unit A, Indianapolis, IN 46205 2018-10-25
1376034165 Sade Trenise Evans Behavior Technician 4740 Kingsway Drive, Indianapolis, IN 46205 2018-05-29
1972057354 Danielle Mandigo Social Worker 4068 Winthrop Ave, Indianapolis, IN 46205 2016-08-15
1386032613 Hear Indiana Inc Speech-Language Pathologist 4740 Kingsway Dr., Suite 33, Indianapolis, IN 46205 2015-01-09
1114237336 Greenhouse and Associates Inc. Psychologist 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 2010-10-21
1265686638 Crown Medical Transportation Non-emergency Medical Transport (VAN) 4637 Round Lake Rd Ste G, Indianapolis, IN 46205 2008-11-11
1003075912 Monica Silvia Oclander Nurse Practitioner Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 2008-06-05
1881895647 Amber Casto Counselor 2626 East 46th Street, Suite J, Indianapolis, IN 46205 2007-05-30
1952502098 Challenge Foundation Academy Contractor 3980 Meadows Dr., Indianapolis, IN 46205 2007-05-29
1588871909 Korinne Fox Social Worker 3675 N, Washington Blvd., Indianapolis, IN 46205 2007-05-16
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093351884 Phx Mymed Health Access Solutions Case Manager/Care Coordinator 5777 N. Post Road, Indianapolis, IN 46216-2007 2019-11-27
1407409105 Jeramie Davis Case Manager/Care Coordinator 2829 Greenview Way, Indianapolis, IN 46229-1500 2019-07-22
1174087894 Cross Resource & Consulting LLC Case Manager/Care Coordinator 4716 Round Lake Rd Apt H, Indianapolis, IN 46205-2386 2019-01-27
1033688296 Khulekani Mangozhe Case Manager/Care Coordinator 2410 Executive Dr Ste 201, Indianapolis, IN 46241-5000 2018-11-17
1356818744 Christa R Henderson Case Manager/Care Coordinator 6301 Old Barn Ct, Indianapolis, IN 46268-4045 2018-10-24
1164999546 Dominique Stuart Case Manager/Care Coordinator 2410 Executive Dr, Indianapolis, IN 46241-5045 2018-10-24
1457826513 Christal Redd Case Manager/Care Coordinator 2819 Lambdin Ct, Indianapolis, IN 46268-5090 2018-10-04
1740765726 Kimberly Sue Davis Case Manager/Care Coordinator 3171 N Meridian St Fl 2, Indianapolis, IN 46208-4784 2018-09-26
1720567712 Monica M Lawrence Case Manager/Care Coordinator 924 Ardsley Dr, Indianapolis, IN 46234-2140 2018-08-09
1447737168 Damon Lowell Hicks Case Manager/Care Coordinator 6342 Saint Jean Dr, Indianapolis, IN 46217-3859 2018-07-25
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Competitor

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City INDIANAPOLIS
Zip Code 46205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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