MEDICARE: ELDERS JOURNEY HOME CARE, LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1063757839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELDERS JOURNEY HOME CARE, LLC

Provider Business Mailing Address
First Line	:	4334 E 3RD ST STE 100
Second Line	:
City	:	BLOOMINGTON
State	:	IN
Zip	:	47401-5547
Country	:	US
Telephone Number	:	812-334-2389
Fax Number	:	812-287-8181

Provider Business Practice Location Address
First Line	:	4334 E 3RD ST STE 100
Second Line	:
City	:	BLOOMINGTON
State	:	IN
Zip	:	47401-5547
Country	:	US
Telephone Number	:	812-334-2389
Fax Number	:	812-287-8181

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	ANN MARIE HARRISON
Credential	:	RN, BSN
Telephone Number	:	812-334-2389

Provider Enumeration Date	:	12/05/2012
Last Update Date	:	10/01/2025

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