Healthcare Provider Details

I. General information

NPI: 1780529446
Provider Name (Legal Business Name): AGING BY GRACE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3405 BRECKENRIDGE DR
INDIANAPOLIS IN
46228-2751
US

IV. Provider business mailing address

3405 BRECKENRIDGE DR
INDIANAPOLIS IN
46228-2751
US

V. Phone/Fax

Practice location:
  • Phone: 317-721-5528
  • Fax: 317-608-3501
Mailing address:
  • Phone: 317-721-5528
  • Fax: 317-608-3501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: HAFIZ AFTAB
Title or Position: PRESIDENT/CEO
Credential:
Phone: 718-249-5659