Healthcare Provider Details
I. General information
NPI: 1316905557
Provider Name (Legal Business Name): HOME CARE WITH A HEART, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
104 GRANBY DR SUITE D
CUMBERLAND IN
46229-2893
US
IV. Provider business mailing address
104 GRANBY DR SUITE D
CUMBERLAND IN
46229-2893
US
V. Phone/Fax
- Phone: 317-891-8301
- Fax:
- Phone: 317-891-8301
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WH0200X |
| Taxonomy | Home Health Registered Nurse |
| License Number | |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 164W00000X |
| Taxonomy | Licensed Practical Nurse |
| License Number | |
| License Number State | IN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | IN |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | IN |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | IN |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | IN |
VIII. Authorized Official
Name:
HEATHER
JARELS
Title or Position: RN/OWNER
Credential:
Phone: 317-891-8301