MEDICARE: PURE HEART HELPERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	347C00000X	Private Vehicle
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1881378602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURE HEART HELPERS LLC

Provider Business Mailing Address
First Line	:	2928 BRIARCHASE CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-5087
Country	:	US
Telephone Number	:	317-698-9989
Fax Number	:

Provider Business Practice Location Address
First Line	:	2928 BRIARCHASE CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-5087
Country	:	US
Telephone Number	:	317-698-9989
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DIANA DENISE BARNES
Credential	:	RN
Telephone Number	:	317-698-9989

Provider Enumeration Date	:	06/12/2023
Last Update Date	:	06/12/2023

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