Healthcare Provider Details

I. General information

NPI: 1124239132
Provider Name (Legal Business Name): GENERAL HEALTHCARE RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8060 KNUE RD SUITE 110
INDIANAPOLIS IN
46250-1976
US

IV. Provider business mailing address

6515 E 52ND PL
INDIANAPOLIS IN
46226-1715
US

V. Phone/Fax

Practice location:
  • Phone: 317-842-7435
  • Fax: 317-842-7674
Mailing address:
  • Phone: 317-541-1882
  • Fax: 317-541-1874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number48-03-04-00326
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number48-01-02-02913
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number48-01-02-02913
License Number StateIN
# 5
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: JESSICA ANNE CARR
Title or Position: CERTIFIED NURSING ASSISTANT
Credential:
Phone: 317-541-1882