Provider Demographics
NPI:1316905557
Name:HOME CARE WITH A HEART, INC.
Entity type:Organization
Organization Name:HOME CARE WITH A HEART, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JARELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-891-8301
Mailing Address - Street 1:104 GRANBY DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:CUMBERLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46229-2893
Mailing Address - Country:US
Mailing Address - Phone:317-891-8301
Mailing Address - Fax:
Practice Address - Street 1:104 GRANBY DR
Practice Address - Street 2:SUITE D
Practice Address - City:CUMBERLAND
Practice Address - State:IN
Practice Address - Zip Code:46229-2893
Practice Address - Country:US
Practice Address - Phone:317-891-8301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN3747A0650X, 3747P1801X, 374U00000X, 376J00000X, 163WH0200X, 164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
Not Answered3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Not Answered374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Not Answered376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Not Answered163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
Not Answered164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN=========OtherCICOA HOME HEALTH SVCS