Individual provider · Type 1 NPI

Vanessa D. Gorham

Attendant Care Provider · Indianapolis, IN

NPI number 1821838251 Active

Practice location

5335 N Tacoma Ave Ste 13
Indianapolis, IN 46220-3648

Call (317) 360-2421 Map

Mailing address

11653 Stoeppelwerth Dr
Indianapolis, IN 46229-4244

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650X24-016822-1 (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.

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About NPI 1821838251

Vanessa D. Gorham's National Provider Identifier is 1821838251, issued on May 31, 2024. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Indianapolis, IN. The record was last updated on May 31, 2024.