MEDICARE: GODS HELPING HANDS HOME HEALTH 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	251E00000X	Home Health Agency	10012525	IN

General Provider Information

NPI Number	:	1932407574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GODS HELPING HANDS HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	6201 LA PAS TRAIL
Second Line	:	SUITE: 200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-2513
Country	:	US
Telephone Number	:	317-295-8727
Fax Number	:	317-295-8722

Provider Business Practice Location Address
First Line	:	6201 LA PAS TRL
Second Line	:	SUITE: 200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-4887
Country	:	US
Telephone Number	:	317-295-8727
Fax Number	:	317-295-8722

Authorized Official
Title or Position	:	CEO
Name	:	MS. LINDA C ASIM
Credential	:	PRESIDENT
Telephone Number	:	317-295-8727

Provider Enumeration Date	:	03/07/2011
Last Update Date	:	03/07/2011

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