Provider Demographics
NPI:1740276088
Name:JOY HEALTH SERVICES LLC
Entity type:Organization
Organization Name:JOY HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADEWOPO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:317-388-8640
Mailing Address - Street 1:6214 MORENCI TRL
Mailing Address - Street 2:SUITE 280
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-4871
Mailing Address - Country:US
Mailing Address - Phone:317-388-8640
Mailing Address - Fax:317-388-8641
Practice Address - Street 1:6214 MORENCI TRL
Practice Address - Street 2:SUITE 280
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-4871
Practice Address - Country:US
Practice Address - Phone:317-388-8640
Practice Address - Fax:317-388-8641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN157552Medicare UPIN
IN157552Medicare Oscar/Certification