Healthcare Provider Details

I. General information

NPI: 1477251254
Provider Name (Legal Business Name): SIMPLY MOORE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 E 46TH ST STE 137
INDIANAPOLIS IN
46205-1449
US

IV. Provider business mailing address

2201 E 46TH ST STE 137
INDIANAPOLIS IN
46205-1449
US

V. Phone/Fax

Practice location:
  • Phone: 888-343-0646
  • Fax: 463-317-7998
Mailing address:
  • Phone: 888-343-0646
  • Fax: 463-317-7998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: HOLLY ROBINSON
Title or Position: OWNER
Credential:
Phone: 317-413-6277