Healthcare Provider Details

I. General information

NPI: 1063757839
Provider Name (Legal Business Name): ELDERS JOURNEY HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2012
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4334 E 3RD ST STE 100
BLOOMINGTON IN
47401-5547
US

IV. Provider business mailing address

4334 E 3RD ST STE 100
BLOOMINGTON IN
47401-5547
US

V. Phone/Fax

Practice location:
  • Phone: 812-334-2389
  • Fax: 812-287-8181
Mailing address:
  • Phone: 812-334-2389
  • Fax: 812-287-8181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANN MARIE HARRISON
Title or Position: ADMINISTRATOR/OWNER
Credential: RN, BSN
Phone: 812-334-2389