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NPI Code Detail

MEDICARE: HEART TO HEART HOSPICE OF INDIANAPOLIS LLC

MEDICARE: HEART TO HEART HOSPICE OF INDIANAPOLIS LLC
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
1251G00000XCommunity Based Hospice Care Agency070040041IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497976393
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEART TO HEART HOSPICE OF INDIANAPOLIS LLC
Provider Business Mailing Address
First Line : 7240 CHASE OAKS BLVD
Second Line :
City : PLANO
State : TX
Zip : 75025-5901
Country : US
Telephone Number : 972-517-6300
Fax Number : 972-517-6301
Provider Business Practice Location Address
First Line : 2611 WATERFRONT PARKWAY EAST DR STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46214-2057
Country : US
Telephone Number : 317-718-7422
Fax Number : 317-718-7433
Authorized Official
Title or Position : CEO
Name : KELLY O MITCHELL
Credential :
Telephone Number : 972-517-6300
Provider Enumeration Date : 05/01/2007
Last Update Date : 04/13/2020

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Directions to “HEART TO HEART HOSPICE OF INDIANAPOLIS LLC ” Practice Location

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