Healthcare Provider Details

I. General information

NPI: 1295520633
Provider Name (Legal Business Name): NURTURING HEARTS HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9165 OTIS AVE STE 213
INDIANAPOLIS IN
46216-2316
US

IV. Provider business mailing address

9165 OTIS AVE STE 213
INDIANAPOLIS IN
46216-2316
US

V. Phone/Fax

Practice location:
  • Phone: 317-663-9707
  • Fax: 317-458-1819
Mailing address:
  • Phone: 317-663-9707
  • Fax: 317-458-1819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CHANECIA COWYIN
Title or Position: OWNER
Credential: RN
Phone: 317-663-9707