MEDICARE: INDIANA 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	251C00000X	Developmentally Disabled Services Day Training Agency		IN

General Provider Information

NPI Number	:	1528248424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDIANA HOME HEALTH, INC

Provider Business Mailing Address
First Line	:	201 N ILLINOIS ST
Second Line	:	SUITE 1600
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1904
Country	:	US
Telephone Number	:	317-601-3255
Fax Number	:	317-713-1141

Provider Business Practice Location Address
First Line	:	201 N ILLINOIS ST
Second Line	:	SUITE 1600
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1904
Country	:	US
Telephone Number	:	317-601-3255
Fax Number	:	317-713-1141

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. SHANNON C HARRELL
Credential	:
Telephone Number	:	317-610-3255

Provider Enumeration Date	:	11/07/2007
Last Update Date	:	11/07/2007

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Directions to “INDIANA HOME HEALTH, INC ” Practice Location

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