Healthcare Provider Details

I. General information

NPI: 1730938556
Provider Name (Legal Business Name): MERCY ANGELS HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7212 N SHADELAND AVE STE 209A
INDIANAPOLIS IN
46250-2030
US

IV. Provider business mailing address

7212 N SHADELAND AVE STE 209A
INDIANAPOLIS IN
46250-2030
US

V. Phone/Fax

Practice location:
  • Phone: 317-288-5487
  • Fax: 888-531-4280
Mailing address:
  • Phone: 317-288-5487
  • Fax: 888-531-4280

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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SUMMER GRAYS
Title or Position: CEO
Credential:
Phone: 317-288-5487