Healthcare Provider Details

I. General information

NPI: 1568304699
Provider Name (Legal Business Name): ELITE HEARTS PLATINUM HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1166 BURDSAL PKWY
INDIANAPOLIS IN
46208-5469
US

IV. Provider business mailing address

1166 BURDSAL PKWY
INDIANAPOLIS IN
46208-5469
US

V. Phone/Fax

Practice location:
  • Phone: 317-909-0384
  • Fax:
Mailing address:
  • Phone: 317-909-0384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. SHANTORIA TAYLOR
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 317-909-0384