LIFE'S JOURNEY OF AVON, LLC (NPI# 1710460936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710460936 |
| Entity Type | Organization |
| Organization Name | LIFE'S JOURNEY OF AVON, LLC |
| Practice Address |
10241 E County Road 100 N Indianapolis IN 46234-9016 |
| Practice Telephone | 3175616838 |
| Practice Fax Number | 3175616827 |
| Mailing Telephone | 3175616838 |
| Mailing Fax Number | 3175616827 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | ROBERT D WALLACE (CEO) |
| Authorized Official Telephone | 3175616838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities | ||
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
10241 E COUNTY ROAD 100 N |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46234-9016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760011605 | Chrissy Jo Baker | Family Medicine | 10241 E County Road 100 N, Indianapolis, IN 46234-9016 | 2020-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619947 | Kyra Cooke | Registered Nurse | 5570 Goodwin St, Indianapolis, IN 46234 | 2020-11-06 |
| 1285241828 | Paris Janee Avant | Student in an Organized Health Care Education/Training Program | 8926 Mario Creek Dr, Indianapolis, IN 46234 | 2020-09-28 |
| 1316442072 | Ondrea Robinson | Counselor | 3636 N Raceway Rd, Suite 400, Indianapolis, IN 46234 | 2018-03-26 |
| 1629504303 | Life's Journey of Avon,llc | Hospice Care, Community Based | 10241 E. Co Rd 100 N., Indianapolis, IN 46234 | 2017-05-02 |
| 1235681776 | Michael Sundell | Specialist/Technologist | 9022 W 52nd St, Indianapolis, IN 46234 | 2016-11-01 |
| 1396033106 | Jill Carson Aldrich | Dentist | 10373 E County Road 100 N, Indianapolis, IN 46234 | 2011-07-13 |
| 1861603243 | Rodrigo Del Castillo Edo | Physical Therapist | 8616 West Tenth Street, Indianapolis, IN 46234 | 2007-05-25 |
| 1316072242 | Michael S. Miller Do, Facos, Cws, PC | Surgery | 8355 Rockville Rd # 120, Indianapolis, IN 46234 | 2007-02-22 |
| 1427114651 | Eagle Highland Pharmacy | Pharmacy | 9010 Crawfordsville Rd., Indianapolis, IN 46234 | 2006-12-30 |
| 1033166871 | Hendricks County Hospital | Skilled Nursing Facility | 8616 W 10th St, Indianapolis, IN 46234 | 2006-05-27 |
| Find all providers in zip 46234 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180168 | Adaptive Hospice, Inc. | Hospice Care, Community Based | 777 Beachway Dr Ste 302, Indianapolis, IN 46224-7876 | 2020-10-08 |
| 1699235887 | Brighton Hospice Indiana LLC | Hospice Care, Community Based | 280 E 96th St Ste 250, Indianapolis, IN 46240-3853 | 2019-03-22 |
| 1629504303 | Life's Journey of Avon,llc | Hospice Care, Community Based | 10241 E. Co Rd 100 N., Indianapolis, IN 46234 | 2017-05-02 |
| 1770968570 | Health Works | Hospice Care, Community Based | 7460 E 30th St, Indianapolis, IN 46219-1111 | 2015-07-22 |
| 1538540638 | Anew Hospice LLC | Hospice Care, Community Based | 3830 E Southport Rd Ste 300, Indianapolis, IN 46237-3261 | 2015-06-15 |
| 1578950895 | Great Lakes Caring Hospice C In, LLC | Hospice Care, Community Based | 5420 W Southern Ave Ste 302a, Indianapolis, IN 46241-5568 | 2015-04-24 |
| 1093102105 | Brookdale Hospice, LLC | Hospice Care, Community Based | 9100 Purdue Rd Ste 100, Indianapolis, IN 46268-1190 | 2015-04-16 |
| 1427395946 | Freedom Hospice, LLC | Hospice Care, Community Based | 7215 E 21st St Ste A, Indianapolis, IN 46219-1777 | 2013-01-04 |
| 1912264946 | Intrepid of Northern Indiana, Inc. | Hospice Care, Community Based | 6002 W 62nd St Ste B, Indianapolis, IN 46278-2909 | 2012-04-16 |
| 1679746267 | Seasons Hospice & Palliative Care of Indiana LLC | Hospice Care, Community Based | 2629 Waterfront Parkway East Dr, Ste 375, Indianapolis, IN 46214-2076 | 2008-04-04 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46234 |
Please comment or provide details below to improve the information on LIFE'S JOURNEY OF AVON, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.