Healthcare Provider Details

I. General information

NPI: 1962390542
Provider Name (Legal Business Name): PEAK HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 E MAIN ST STE 305B
PLAINFIELD IN
46168-2831
US

IV. Provider business mailing address

2680 E MAIN ST STE 305B
PLAINFIELD IN
46168-2831
US

V. Phone/Fax

Practice location:
  • Phone: 317-855-9947
  • Fax: 317-855-9947
Mailing address:
  • Phone: 317-855-9947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CORTNEY GASPER
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 765-720-1662