MEDICARE: CATHERINE ROSE HOME HEALTH AGENCY

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	:	1407743180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHERINE ROSE HOME HEALTH AGENCY

Provider Business Mailing Address
First Line	:	7212 N SHADELAND AVE STE 200
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-5901
Country	:	US
Telephone Number	:	317-748-4647
Fax Number	:

Provider Business Practice Location Address
First Line	:	7212 N SHADELAND AVE STE 200
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-5901
Country	:	US
Telephone Number	:	317-748-4647
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OPERATIONS DIRECTOR
Name	:	MS. LAVESE DANIEL
Credential	:
Telephone Number	:	317-748-4647

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	03/05/2026

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