Provider Demographics
NPI:1922984525
Name:BUNDLES OF SWEETZ
Entity type:Organization
Organization Name:BUNDLES OF SWEETZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEYONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:HHA/CNA/QMA/LPN/RN
Authorized Official - Phone:317-668-6535
Mailing Address - Street 1:6030 E 42ND ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-4910
Mailing Address - Country:US
Mailing Address - Phone:317-668-6535
Mailing Address - Fax:
Practice Address - Street 1:6030 E 42ND ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-4910
Practice Address - Country:US
Practice Address - Phone:317-668-6535
Practice Address - Fax:317-668-6535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier