MEDICARE: HOOSIER HEART SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1013876143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOOSIER HEART SERVICES INC

Provider Business Mailing Address
First Line	:	1725 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-2733
Country	:	US
Telephone Number	:	317-734-3163
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-2733
Country	:	US
Telephone Number	:	317-734-3163
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TIFFANY L SMITH
Credential	:
Telephone Number	:	317-918-7329

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “HOOSIER HEART SERVICES INC ” Practice Location

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