=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154281368
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOURNEY'S HOME HEALTH CARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/12/2025
-----------------------------------------------------
Last Update Date | 12/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6801 LAKE PLAZA DR STE D402
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46220-4066
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-426-3565
-----------------------------------------------------
Fax | 317-740-1711
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6801 LAKE PLAZA DR STE D402
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46220-4066
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-426-3565
-----------------------------------------------------
Fax | 317-740-1711
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINSTRATOR
-----------------------------------------------------
Name | KEISHA SMITH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 317-938-0826
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------