Healthcare Provider Details

I. General information

NPI: 1023928017
Provider Name (Legal Business Name): HAVENSYNC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 PEBBLE CT
ANDERSON IN
46013-3773
US

IV. Provider business mailing address

1021 PEBBLE CT
ANDERSON IN
46013-3773
US

V. Phone/Fax

Practice location:
  • Phone: 765-821-4616
  • Fax:
Mailing address:
  • Phone: 765-821-4616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE ROGERS
Title or Position: OWNER/MANAGER
Credential:
Phone: 765-821-4616