Healthcare Provider Details

I. General information

NPI: 1598387896
Provider Name (Legal Business Name): INDEPENDENT HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 E 52ND ST STE 200
INDIANAPOLIS IN
46205-1381
US

IV. Provider business mailing address

801 ROSEHILL RD
JACKSON MI
49202-1762
US

V. Phone/Fax

Practice location:
  • Phone: 317-296-8813
  • Fax: 317-826-7297
Mailing address:
  • Phone: 517-212-9000
  • Fax: 517-212-2018

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: MR. JOSEPH MEAD
Title or Position: CEO
Credential:
Phone: 317-296-8813