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NPI Code Detail

MEDICARE: FAMILY HAVEN HOME CARE LLC

MEDICARE: FAMILY HAVEN 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
1343900000XNon-emergency Medical Transport (VAN)
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1730970716
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY HAVEN HOME CARE LLC
Provider Business Mailing Address
First Line : 1806 DECO DR APT 7104
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-4018
Country : US
Telephone Number : 317-739-9610
Fax Number :
Provider Business Practice Location Address
First Line : 1806 DECO DR APT 7104
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-4018
Country : US
Telephone Number : 317-739-9610
Fax Number :
Authorized Official
Title or Position : CEO
Name : ALICIA PITTMAN
Credential :
Telephone Number : 317-739-9610
Provider Enumeration Date : 05/16/2025
Last Update Date : 03/02/2026

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Directions to “FAMILY HAVEN HOME CARE LLC ” Practice Location

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