Organization
BABY BOOMER HOME CARE AND GROUP HOME CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONESHA J MOORER (PRESIDENT)
(317) 201-1655
Entity
Organization
Contact information
Practice address
55 E 22ND ST, INDIANAPOLIS, IN 46202-1427
(317) 201-1655
Mailing address
55 E 22ND ST, INDIANAPOLIS, IN 46202-1427
(317) 201-1655
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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