Provider Demographics
NPI:1659071462
Name:HOLY SPIRIT HOME
Entity Type:Organization
Organization Name:HOLY SPIRIT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FERRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-507-4553
Mailing Address - Street 1:3737 LAUREL CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-7617
Mailing Address - Country:US
Mailing Address - Phone:317-507-4553
Mailing Address - Fax:
Practice Address - Street 1:3737 LAUREL CHERRY LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-7617
Practice Address - Country:US
Practice Address - Phone:317-507-4553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health