Healthcare Provider Details
I. General information
NPI: 1518847573
Provider Name (Legal Business Name): ROSE LOVING HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/02/2025
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11331 MCDOWELL DR
INDIANAPOLIS IN
46229-2236
US
IV. Provider business mailing address
11331 MCDOWELL DR
INDIANAPOLIS IN
46229-2236
US
V. Phone/Fax
- Phone: 708-882-7844
- Fax:
- Phone: 708-882-7844
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JIMMIKKA
D
SYKES
Title or Position: CEO
Credential:
Phone: 317-721-5038