Healthcare Provider Details

I. General information

NPI: 1770836652
Provider Name (Legal Business Name): INDIANA HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2012
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8455 KEYSTONE XING
INDIANAPOLIS IN
46240-4353
US

IV. Provider business mailing address

8455 KEYSTONE XING
INDIANAPOLIS IN
46240-4353
US

V. Phone/Fax

Practice location:
  • Phone: 317-536-1731
  • Fax: 463-212-8855
Mailing address:
  • Phone: 317-536-1731
  • Fax: 463-212-8855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number120125811
License Number StateIN

VIII. Authorized Official

Name: DONA B WRIGHT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 317-536-1731