# CHANGES HOME HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1053778571
- **Authorized official:** CARRIE CLARK REGISTERED NURSE (DIRECTOR OF NURSING)
- **Authorized official phone:** (317) 986-6965

## Contact information

- **Practice address:** 10090 E US HIGHWAY 36, SUITE C, AVON, IN 46123-8175
- **Practice address phone:** (317) 986-6965
- **Practice address fax:** (317) 203-1064
- **Mailing address:** 10090 E US HIGHWAY 36, SUITE C, AVON, IN 46123-8175
- **Mailing address phone:** (317) 986-6965
- **Mailing address fax:** (317) 203-1064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 150138071 | IN | Yes |

## Other

- **Enumeration date:** 01/28/2016
- **Last updated:** 01/28/2016