MEDICARE: JUST BREATHE HOME CARE & WELLNESS

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	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1861323800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUST BREATHE HOME CARE & WELLNESS

Provider Business Mailing Address
First Line	:	4355 CLARENDON RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-3776
Country	:	US
Telephone Number	:	317-643-0742
Fax Number	:

Provider Business Practice Location Address
First Line	:	4355 CLARENDON RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-3776
Country	:	US
Telephone Number	:	317-643-0742
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/EXECUTIVE DIRECTOR
Name	:	SHAWNNA HENDRICKS
Credential	:	HENDRICKS
Telephone Number	:	317-945-4825

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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