Healthcare Provider Details

I. General information

NPI: 1578630158
Provider Name (Legal Business Name): INDIANAPOLIS HOME CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 MERIDIAN PARKE LN STE A1
GREENWOOD IN
46142-9400
US

IV. Provider business mailing address

373 MERIDIAN PARKE LN STE A1
GREENWOOD IN
46142-9400
US

V. Phone/Fax

Practice location:
  • Phone: 317-755-1687
  • Fax: 317-992-2266
Mailing address:
  • Phone: 317-755-1687
  • Fax: 317-992-2266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number07-006364-1
License Number StateIN

VIII. Authorized Official

Name: THOMAS J DIMARCO
Title or Position: CEO
Credential:
Phone: 614-436-9404