Healthcare Provider Details

I. General information

NPI: 1841941598
Provider Name (Legal Business Name): A HOME CARE NEAR YOU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2022
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 LA PAS TRL STE 120
INDIANAPOLIS IN
46268-2513
US

IV. Provider business mailing address

6201 LA PAS TRL STE 120
INDIANAPOLIS IN
46268-2513
US

V. Phone/Fax

Practice location:
  • Phone: 317-214-8128
  • Fax: 317-458-1977
Mailing address:
  • Phone: 317-214-8128
  • Fax: 317-458-1977

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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: RAMATOU ISMAILA
Title or Position: CEO
Credential:
Phone: 317-214-8128