Healthcare Provider Details

I. General information

NPI: 1689589806
Provider Name (Legal Business Name): THRIVE TO CARE HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3102 N KENWOOD AVE
INDIANAPOLIS IN
46208-4630
US

IV. Provider business mailing address

3102 N KENWOOD AVE
INDIANAPOLIS IN
46208-4630
US

V. Phone/Fax

Practice location:
  • Phone: 317-434-3735
  • Fax: 317-434-3735
Mailing address:
  • Phone: 317-434-3735
  • Fax: 317-434-3735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MISS KENYA SIMMONS
Title or Position: ADMINISTRATOR
Credential: LPN
Phone: 317-434-3735