OrganizationActive
A Village of Love Residential LLC
NPI 1003645953 · Personal Care Attendant · Indianapolis, IN
Provider details
- NPI number
- 1003645953
- Entity type
- Organization
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Bobby Tyus, President(317) 625-4130
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1855 Bauer Rd
Indianapolis, IN 46218-4814
Phone: (317) 625-4130
Approximate (ZIP-level) locationGet directions
Mailing address
1855 Bauer Rd
Indianapolis, IN 46218-4814
Registry dates
- Enumerated
- 2024-07-30
- Last updated
- 2024-07-30
- Certified
- 2024-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.