MEDICARE: SHAINA LANA JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	25-017354-1	IN

General Provider Information

NPI Number	:	1043102684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAINA LANA JONES

Provider Business Mailing Address
First Line	:	3635 MILL RUN CIR APT 1514
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-5068
Country	:	US
Telephone Number	:	317-728-9536
Fax Number	:

Provider Business Practice Location Address
First Line	:	3635 MILL RUN CIR APT 1514
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-5068
Country	:	US
Telephone Number	:	317-728-9536
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2025
Last Update Date	:	07/17/2025

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Directions to “ SHAINA LANA JONES ” Practice Location

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