Healthcare Provider Details

I. General information

NPI: 1346861366
Provider Name (Legal Business Name): JHS CARE COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2020
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2805 E 96TH ST
INDIANAPOLIS IN
46240-1369
US

IV. Provider business mailing address

2825 E 96TH ST
INDIANAPOLIS IN
46240-1310
US

V. Phone/Fax

Practice location:
  • Phone: 317-815-8300
  • Fax:
Mailing address:
  • Phone: 317-815-8300
  • Fax: 317-815-8304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOY ADEWOPO
Title or Position: OWNER
Credential:
Phone: 317-816-7300