Healthcare Provider Details

I. General information

NPI: 1215560404
Provider Name (Legal Business Name): JOURNEYS HOME CARE AND CONCIERGE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2020
Last Update Date: 02/17/2020
Certification Date: 02/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9165 OTIS AVE STE 218
INDIANAPOLIS IN
46216-2316
US

IV. Provider business mailing address

9165 OTIS AVE STE 218
INDIANAPOLIS IN
46216-2316
US

V. Phone/Fax

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

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: ADMINISTRATOR
Credential:
Phone: 317-426-3565