Healthcare Provider Details

I. General information

NPI: 1861323800
Provider Name (Legal Business Name): JUST BREATHE HOME CARE & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4355 CLARENDON RD
INDIANAPOLIS IN
46208-3776
US

IV. Provider business mailing address

4355 CLARENDON RD
INDIANAPOLIS IN
46208-3776
US

V. Phone/Fax

Practice location:
  • Phone: 317-643-0742
  • Fax:
Mailing address:
  • Phone: 317-643-0742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SHAWNNA HENDRICKS
Title or Position: FOUNDER/EXECUTIVE DIRECTOR
Credential: HENDRICKS
Phone: 317-945-4825