Provider Demographics
NPI:1124903000
Name:ELDER'S JOURNEY HOME CARE OF LAFAYETTE, LLC
Entity type:Organization
Organization Name:ELDER'S JOURNEY HOME CARE OF LAFAYETTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:812-360-7041
Mailing Address - Street 1:5 EXECUTIVE DRIVE UNIT B-1
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-4867
Mailing Address - Country:US
Mailing Address - Phone:765-838-3850
Mailing Address - Fax:765-838-8828
Practice Address - Street 1:5 EXECUTIVE DRIVE
Practice Address - Street 2:UNIT B-1
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-4867
Practice Address - Country:US
Practice Address - Phone:765-838-3850
Practice Address - Fax:765-838-8828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health