Healthcare Provider Details

I. General information

NPI: 1013239870
Provider Name (Legal Business Name): PREMIER HOSPICE & PALLIATIVE CARE - INDIANA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2010
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9292 N MERIDIAN ST STE 250
INDIANAPOLIS IN
46260-1857
US

IV. Provider business mailing address

9292 N MERIDIAN ST STE 250
INDIANAPOLIS IN
46260-1857
US

V. Phone/Fax

Practice location:
  • Phone: 317-844-8700
  • Fax: 317-844-6200
Mailing address:
  • Phone: 317-844-8700
  • Fax: 317-844-6200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateIN

VIII. Authorized Official

Name: JAY KOEPER
Title or Position: PRESIDENT
Credential:
Phone: 970-828-2210