Healthcare Provider Details

I. General information

NPI: 1417701350
Provider Name (Legal Business Name): A GENERATION OF JOY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2024
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5724 GREEN ST
BROWNSBURG IN
46112-1471
US

IV. Provider business mailing address

5724 GREEN ST STE 209
BROWNSBURG IN
46112-1471
US

V. Phone/Fax

Practice location:
  • Phone: 463-254-9414
  • Fax:
Mailing address:
  • Phone: 463-254-9414
  • Fax: 800-853-4224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CANDICE ANDERSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 463-254-9414