# SUPPORTIVE HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1497563100
- **Authorized official:** SHANA GRAHAM (OWNER/VICE PRESIDENT)
- **Authorized official phone:** (317) 531-1550

## Contact information

- **Practice address:** 6767 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6736
- **Practice address phone:** (317) 400-4049
- **Practice address fax:** (800) 878-7151
- **Mailing address:** 6767 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6736
- **Mailing address phone:** (317) 400-4049
- **Mailing address fax:** (800) 878-7151

## Taxonomy

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

## Other

- **Enumeration date:** 12/27/2024
- **Last updated:** 12/27/2024