MEDICARE: KEEP BELIVEING HOME CARE 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
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1639992787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEEP BELIVEING HOME CARE LLC

Provider Business Mailing Address
First Line	:	9619 E 37TH PL
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-2104
Country	:	US
Telephone Number	:	317-918-5816
Fax Number	:

Provider Business Practice Location Address
First Line	:	9619 E 37TH PL
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-2104
Country	:	US
Telephone Number	:	317-918-5816
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LATOYA A TEMPLE
Credential	:
Telephone Number	:	317-918-5816

Provider Enumeration Date	:	11/06/2024
Last Update Date	:	11/06/2024

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