# BABY BOOMER HOME CARE AND GROUP HOME CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033087291
- **Authorized official:** MS. DONESHA J MOORER (PRESIDENT)
- **Authorized official phone:** (317) 201-1655

## Contact information

- **Practice address:** 55 E 22ND ST, INDIANAPOLIS, IN 46202-1427
- **Practice address phone:** (317) 201-1655
- **Mailing address:** 55 E 22ND ST, INDIANAPOLIS, IN 46202-1427
- **Mailing address phone:** (317) 201-1655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/28/2025
- **Last updated:** 10/28/2025