Healthcare Provider Details

I. General information

NPI: 1740083575
Provider Name (Legal Business Name): A JEWEL HOMECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2607 BROADWAY ST UNIT 2
INDIANAPOLIS IN
46205-4241
US

IV. Provider business mailing address

2061 ALYSHEBA DR
INDIANAPOLIS IN
46234-9698
US

V. Phone/Fax

Practice location:
  • Phone: 317-758-8199
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ARIANE COYLE
Title or Position: ADMINISTRATOR
Credential: MSN, APRN, FNP-C
Phone: 317-758-8199