Healthcare Provider Details
I. General information
NPI: 1750172656
Provider Name (Legal Business Name): PHYSICIANS CHOICE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2025
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
931 E 86TH ST STE 210
INDIANAPOLIS IN
46240-1852
US
IV. Provider business mailing address
931 E 86TH ST STE 210
INDIANAPOLIS IN
46240-1852
US
V. Phone/Fax
- Phone: 817-372-9176
- Fax:
- Phone: 817-372-9176
- 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 | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ZACHARY
CRISS
Title or Position: OWNER
Credential:
Phone: 817-372-9176