Healthcare Provider Details
I. General information
NPI: 1962384347
Provider Name (Legal Business Name): ZIONS HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/24/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4367 N AUDUBON RD
INDIANAPOLIS IN
46226-3320
US
IV. Provider business mailing address
4367 N AUDUBON RD
INDIANAPOLIS IN
46226-3320
US
V. Phone/Fax
- Phone: 317-476-1024
- Fax:
- Phone: 317-476-1024
- 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 | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HUMPHREY
HUMPHREY
Title or Position: CEO
Credential:
Phone: 317-250-3088