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Indiana Professional Licensing Agency

PLA > Professions > INDIANA BOARD OF PHARMACY > Home Medical Equipment Services Providers ("HME") Information > Change of Ownership Change of Ownership

Application for Licensure as a Home Medical Equipment Service Provider
IC 25-26-21; 856 IAC 1-39:  Home Medical Equipment Service Providers

The Board shall change the ownership of a Home Medical Equipment Service Provider ("HME") license to a facility that submits: 

  1. a completed HME application;
  2. attach a letter indicating the current HME license number and advising that the application and information is for a change of ownership; 
  3. $150.00 initial application fee;
  4. verification letters as indicated on the application, if applicable; the verification letters must be for the new owner's information; and  
  5. proof of insurance, location specific and must be for the new owner's information.

Upon receipt of all requested information, the Board office will issue a new license number. 

Fee Information
Applicants must submit a $150 application fee in the form of a check or money order made payable to the "Professional Licensing Agency".  The fee(s) must be submitted with the application to the following:

Professional Licensing Agency
402 W Washington Street, Room W072
Indianapolis, IN  46204.

Additional Information
For questions regarding the Indiana HME license, please contact our office by e-mail at
pla4@pla.IN.gov.