A Legacy Of Love Homecare, LLC
In Home Supportive Care in Indianapolis, IN. Organization (NPI-2).
NPI number1366294159
StatusActive
Last updated in NPPESMay 16, 2024
Details
- NPI
- 1366294159
- Entity type
- Organization (NPI-2)
- Legal business name
- A Legacy Of Love Homecare, LLC
- Organization subpart
- No
- Enumeration date
- Apr 4, 2024
- Certification date
- May 16, 2024
- Last updated
- May 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
2201 E 46th St Ste 124Indianapolis, IN 46205-1449
Phone 260-905-2911
Mailing address
2201 E 46th St Ste 124Indianapolis, IN 46205-1449
Phone 260-905-2911
Authorized official
Kimyatta Marie Anderson
Ceo
3172810879
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