Provider Demographics
NPI:1104799261
Name:PLACIDO, TRICIA
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:PLACIDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FIRSTLIGHT
Other - Middle Name:HOME CARE OF
Other - Last Name:BROWNSBURG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6901 KARLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-5651
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7230 ARBUCKLE CMNS
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1791
Practice Address - Country:US
Practice Address - Phone:317-646-1809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care