Healthcare Provider Details

I. General information

NPI: 1023840345
Provider Name (Legal Business Name): CARING HANDS HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 S STATE ROAD 135 STE 135
GREENWOOD IN
46142-1455
US

IV. Provider business mailing address

450 S STATE ROAD 135 STE 135
GREENWOOD IN
46142-1455
US

V. Phone/Fax

Practice location:
  • Phone: 317-300-0609
  • Fax: 463-277-3050
Mailing address:
  • Phone: 317-300-0609
  • Fax: 463-277-3050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: EDWARD LEWIS MOORE JR.
Title or Position: OWNER
Credential:
Phone: 317-471-7607