MEDICARE: ROYAL HEARTZ HOME CARE

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	251T00000X	PACE Provider Organization

General Provider Information

NPI Number	:	1881540706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL HEARTZ HOME CARE

Provider Business Mailing Address
First Line	:	1387 N SHADELAND AVE STE G
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-3605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1387 N SHADELAND AVE STE G
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-3605
Country	:	US
Telephone Number	:	317-435-2328
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIFFANY FORD
Credential	:
Telephone Number	:	317-435-2328

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “ROYAL HEARTZ HOME CARE ” Practice Location

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