MEDICARE: INDIGO HOME HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1154451193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDIGO HOME HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	9975 S EASTERN AVE
Second Line	:	SUITE 120
City	:	HENDERSON
State	:	NV
Zip	:	89123-7949
Country	:	US
Telephone Number	:	702-492-1010
Fax Number	:	702-492-6998

Provider Business Practice Location Address
First Line	:	9975 S EASTERN AVE
Second Line	:	SUITE 120
City	:	HENDERSON
State	:	NV
Zip	:	89123-7949
Country	:	US
Telephone Number	:	702-492-1010
Fax Number	:	702-492-6998

Authorized Official
Title or Position	:	CHIEF PHARMACIST
Name	:	DR. MATTHEW OSAYAREN
Credential	:	PHARM. D
Telephone Number	:	702-492-1010

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	08/22/2020

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Directions to “INDIGO HOME HEALTH SERVICES INC ” Practice Location

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