Provider Demographics
NPI:1689260333
Name:TINOCARE CORPORATION
Entity type:Organization
Organization Name:TINOCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TINOTENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINEMBIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-340-8818
Mailing Address - Street 1:3974 GEORGETOWN RD STE M
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-2406
Mailing Address - Country:US
Mailing Address - Phone:317-340-8818
Mailing Address - Fax:
Practice Address - Street 1:3974 GEORGETOWN RD STE M
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-2406
Practice Address - Country:US
Practice Address - Phone:317-340-8818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300099783Medicaid