MEDICARE: KEHO HOME CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	342000000X	Transportation Network Company
3	343800000X	Secured Medical Transport (VAN)
4	343900000X	Non-emergency Medical Transport (VAN)
5	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1295577740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEHO HOME CARE

Provider Business Mailing Address
First Line	:	3901 W 86TH ST FL 3
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-5734
Country	:	US
Telephone Number	:	888-392-0555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 W 86TH ST FL 3
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-5734
Country	:	US
Telephone Number	:	888-392-0555
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. HOPE PACE
Credential	:
Telephone Number	:	407-922-2994

Provider Enumeration Date	:	06/06/2024
Last Update Date	:	10/01/2024

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Directions to “KEHO HOME CARE ” Practice Location

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