Provider Demographics
NPI:1780021055
Name:INDY HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:INDY HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OSAGIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-666-7424
Mailing Address - Street 1:6517 EMERALD HILL CT
Mailing Address - Street 2:APT 103
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-3326
Mailing Address - Country:US
Mailing Address - Phone:317-666-7424
Mailing Address - Fax:
Practice Address - Street 1:6517 EMERALD HILL CT
Practice Address - Street 2:APT 103
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-3326
Practice Address - Country:US
Practice Address - Phone:317-666-7424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health