Healthcare Provider Details

I. General information

NPI: 1154281368
Provider Name (Legal Business Name): JOURNEY'S HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 LAKE PLAZA DR STE D402
INDIANAPOLIS IN
46220-4066
US

IV. Provider business mailing address

6801 LAKE PLAZA DR STE D402
INDIANAPOLIS IN
46220-4066
US

V. Phone/Fax

Practice location:
  • Phone: 317-426-3565
  • Fax: 317-740-1711
Mailing address:
  • Phone: 317-426-3565
  • Fax: 317-740-1711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KEISHA SMITH
Title or Position: ADMINSTRATOR
Credential:
Phone: 317-938-0826