# GUIDING ANGELS HOMECARE LLC

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

## Provider details

- **NPI number:** 1245066224
- **Authorized official:** KERRYANA BRYE (OWNER)
- **Authorized official phone:** (317) 724-4406

## Contact information

- **Practice address:** 3377 FOREST MANOR AVE, INDIANAPOLIS, IN 46218-2261
- **Practice address phone:** (317) 724-4406
- **Mailing address:** 642 UDELL ST, INDIANAPOLIS, IN 46208-5025
- **Mailing address phone:** (317) 724-4406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 09/09/2024
- **Last updated:** 09/13/2024