MEDICARE: KEL CORP DBA HOME INSTEAD SENIOR CARE

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	385H00000X	Respite Care	14-012027	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073980959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEL CORP DBA HOME INSTEAD SENIOR CARE

Provider Business Mailing Address
First Line	:	8771 WESTPOINTE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46231-1169
Country	:	US
Telephone Number	:	317-248-9299
Fax Number	:	317-248-9294

Provider Business Practice Location Address
First Line	:	8771 WESTPOINTE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46231-1169
Country	:	US
Telephone Number	:	317-248-9299
Fax Number	:	317-248-9294

Authorized Official
Title or Position	:	OWNER
Name	:	MR. PAUL SCHNEIDER
Credential	:
Telephone Number	:	317-248-9299

Provider Enumeration Date	:	08/27/2015
Last Update Date	:	09/22/2015

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