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Dewaun Rockingham
Home Health Agency in Indianapolis, Indiana
NPI 1104536572

Dewaun Rockingham is a Home Health Agency based in Indianapolis, IN. Dewaun Rockingham practices in Indianapolis, IN. The NPI Number for Dewaun Rockingham is 1104536572 and holds a License No. (Indiana).

The current practice location address for Dewaun Rockingham is 3902 N College Ave, Indianapolis, IN and can be reached out via phone at 317-507-6669.

Location: 3902 N College Ave, Indianapolis, IN, 46205-2735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104536572
Provider Name
Dewaun Rockingham
Credential
Provider Entity Type
Individual
Gender
Male
Address
3902 N College Ave, Indianapolis, IN, 46205-2735
Phone Number
317-507-6669
Fax Number
Provider Enumeration Date
11/28/2022
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
22-000808-1 05 IN
institution
Provider Business Practice Location Address Details
Address
3902 N College Ave
City
Indianapolis
State
Indiana
Zip
46205-2735
Phone Number
317-507-6669
Fax Number
person
Provider Business Mailing Address Details
Address
3902 N College Ave
City
Indianapolis
State
Indiana
Zip
46205-2735
Phone Number
317-507-6669
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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