MEDICARE: TESMAC LLC DBA HAVEN OF CARE HOMEHEALTH

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

General Provider Information

NPI Number	:	1972249951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TESMAC LLC DBA HAVEN OF CARE HOMEHEALTH

Provider Business Mailing Address
First Line	:	5455 W 86TH ST STE 235
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1538
Country	:	US
Telephone Number	:	317-665-1778
Fax Number	:	888-632-2194

Provider Business Practice Location Address
First Line	:	5455 W 86TH ST STE 235
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1538
Country	:	US
Telephone Number	:	765-336-8228
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	WOLE ADU
Credential	:
Telephone Number	:	317-665-1778

Provider Enumeration Date	:	05/11/2022
Last Update Date	:	05/27/2026

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