Organization
HEALTHY LIFE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE SANDERS (CEO)
(317) 457-1163
Entity
Organization
Contact information
Practice address
5435 EMERSON WAY STE 404, INDIANAPOLIS, IN 46226-1467
(317) 457-1163
Mailing address
4164 N BUTLER AVE, INDIANAPOLIS, IN 46226-4628
(317) 457-1163
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2118
—
IN
Enumeration date
11/17/2022
Last updated
08/01/2024
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