Healthcare Provider Details
I. General information
NPI: 1578494639
Provider Name (Legal Business Name): SIMPLE CARE HOUSING CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5071 E 10TH ST
INDIANAPOLIS IN
46201-2863
US
IV. Provider business mailing address
3465 N ILLINOIS ST
INDIANAPOLIS IN
46208-4416
US
V. Phone/Fax
- Phone: 317-361-5007
- Fax:
- Phone: 317-361-5007
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALFREDA
RICHARDSON
Title or Position: CEO
Credential:
Phone: 317-361-5007