MEDICARE: HEAL AT HOME 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	013641	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	013641	OTHER	IN	ISDH

General Provider Information

NPI Number	:	1841686417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAL AT HOME LLC

Provider Business Mailing Address
First Line	:	1335 SADLIER CIRCLE EAST DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-1051
Country	:	US
Telephone Number	:	317-429-9875
Fax Number	:	317-429-9896

Provider Business Practice Location Address
First Line	:	1335 SADLIER CIRCLE EAST DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-1051
Country	:	US
Telephone Number	:	317-429-9875
Fax Number	:	317-429-9896

Authorized Official
Title or Position	:	OWNER
Name	:	TIM PAUL
Credential	:
Telephone Number	:	317-429-9875

Provider Enumeration Date	:	04/10/2015
Last Update Date	:	01/14/2026

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Directions to “HEAL AT HOME LLC ” Practice Location

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