# EMINENCE HOME CARE

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

## Provider details

- **NPI number:** 1982477998
- **Authorized official:** TERRY DOVE (ADMINISTRATOR)
- **Authorized official phone:** (317) 701-4191

## Contact information

- **Practice address:** 9511 ANGOLA CT STE 200, INDIANAPOLIS, IN 46268-3190
- **Practice address phone:** (317) 701-4191
- **Mailing address:** 8245 E 96TH ST \# 1132, INDIANAPOLIS, IN 46256-1013
- **Mailing address phone:** (317) 701-4191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 11/01/2023
- **Last updated:** 07/25/2024