Healthcare Provider Details

I. General information

NPI: 1487581559
Provider Name (Legal Business Name): HARMONY HAVEN HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1800 N MERIDIAN ST STE 603
INDIANAPOLIS IN
46202-1433
US

IV. Provider business mailing address

1800 N MERIDIAN ST STE 603
INDIANAPOLIS IN
46202-1433
US

V. Phone/Fax

Practice location:
  • Phone: 317-350-4950
  • Fax: 317-222-6896
Mailing address:
  • Phone: 317-350-4950
  • Fax: 317-222-6896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELLY JO NIBBS
Title or Position: CO-OWNER
Credential:
Phone: 317-350-4950