MEDICARE: H&R HOME HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1609633056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H&R HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	9162 GRANVILLE CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-2042
Country	:	US
Telephone Number	:	317-205-4459
Fax Number	:

Provider Business Practice Location Address
First Line	:	2921 E 10TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-2411
Country	:	US
Telephone Number	:	317-205-4459
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. TIFFANY RENEA' HOGAN
Credential	:	RN
Telephone Number	:	317-205-4459

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	03/04/2024

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