MEDICARE: FAMILY'S CHOICE HOME HEALTH 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	251E00000X	Home Health Agency		IN

General Provider Information

NPI Number	:	1215227517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY'S CHOICE HOME HEALTH INC.

Provider Business Mailing Address
First Line	:	366 WASHINGTON POINT DRIVE
Second Line	:	SUITE 302
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-2639
Country	:	US
Telephone Number	:	317-509-9720
Fax Number	:

Provider Business Practice Location Address
First Line	:	366 WASHINGTON POINTE DR
Second Line	:	SUITE 302
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-2639
Country	:	US
Telephone Number	:	317-509-9720
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	MR. KENDALL COLEMAN
Credential	:
Telephone Number	:	317-509-9720

Provider Enumeration Date	:	04/08/2011
Last Update Date	:	04/08/2011

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