Healthcare Provider Details

I. General information

NPI: 1649061946
Provider Name (Legal Business Name): JUST LIKE FAMILY HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8144 MADISON AVE STE C
INDIANAPOLIS IN
46227-6076
US

IV. Provider business mailing address

8144 MADISON AVE STE C
INDIANAPOLIS IN
46227-6076
US

V. Phone/Fax

Practice location:
  • Phone: 317-418-6592
  • Fax:
Mailing address:
  • Phone: 317-418-6592
  • Fax:

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 Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: LYNETTE RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 317-418-6592