NPI 1003612797

Keoambi Lumpkin

Practitioner In Home Supportive Care Agency Indianapolis, IN

Practice location

Address: 2226 Bernie Dr, Indianapolis, IN 46229
Phone: (317) 622-8422

Registered specialties (5)

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

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Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 28187284A (IN)

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Attendant Care Provider

Nursing Service Related Providers Taxonomy 3747A0650X

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

Homemaker

Nursing Service Related Providers Taxonomy 376J00000X

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Registry record

NPI: 1003612797
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2025
Record last updated: 22 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.