MEDICARE: GUIDED HEARTS 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1457244832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDED HEARTS HOME CARE LLC

Provider Business Mailing Address
First Line	:	1402 COMMERCE AVE # K
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-1141
Country	:	US
Telephone Number	:	317-449-9344
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 COMMERCE AVE # K
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-1141
Country	:	US
Telephone Number	:	317-449-9344
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. JAZMYN SCHUMPERT
Credential	:	CNA
Telephone Number	:	317-449-9344

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	06/02/2025

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