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NPI Code Detail

MEDICARE: HOOSIER HOSPITALITY HOME CARE

MEDICARE: HOOSIER HOSPITALITY 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
1251E00000XHome Health AgencyIN

General Provider Information

NPI Number : 1982866091
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOOSIER HOSPITALITY HOME CARE
Provider Business Mailing Address
First Line : 10809 SPRING GREEN DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46229-3535
Country : US
Telephone Number : 317-895-9245
Fax Number :
Provider Business Practice Location Address
First Line : 10809 SPRING GREEN DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46229-3535
Country : US
Telephone Number : 317-895-9245
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR/OWNER
Name : KIMBERLY Y DIXON
Credential : HFA
Telephone Number : 317-895-9245
Provider Enumeration Date : 06/30/2008
Last Update Date : 06/30/2008

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Directions to “HOOSIER HOSPITALITY HOME CARE ” Practice Location

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