Healthcare Provider Details

I. General information

NPI: 1962339911
Provider Name (Legal Business Name): GOOD VIBES HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 RIVER CROSSING PKWY STE 100
INDIANAPOLIS IN
46240-7766
US

IV. Provider business mailing address

3815 RIVER CROSSING PKWY STE 100
INDIANAPOLIS IN
46240-7766
US

V. Phone/Fax

Practice location:
  • Phone: 317-900-6553
  • Fax:
Mailing address:
  • Phone: 317-900-6553
  • Fax:

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: TERESA L BOONE
Title or Position: OWNER, PRESIDENT
Credential:
Phone: 317-900-6553