Individual provider · Type 1 NPI

Rieketta Danyelle Willis

Attendant Care Provider · Indianapolis, IN

NPI number 1790378073 Active

Practice location

2055 N Keystone Ave
Indianapolis, IN 46218-3562

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant 3747P1801X20-015099-1 (IN)
Home Health Aide 374U00000X20-015099-1 (IN)
Homemaker 376J00000X20-015099-1 (IN)
Attendant Care Provider Primary 3747A0650X20-015099-1 (IN)

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

2 other providers at this address

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About NPI 1790378073

Rieketta Danyelle Willis's National Provider Identifier is 1790378073, issued on Feb 17, 2021. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 17, 2021.