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NPI Code Detail

MEDICARE: EVOLVING LIVES HOMECARE LLC

MEDICARE: EVOLVING LIVES HOMECARE LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1144029034
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVOLVING LIVES HOMECARE LLC
Provider Business Mailing Address
First Line : 2033 W 63RD ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-4306
Country : US
Telephone Number : 317-319-8599
Fax Number :
Provider Business Practice Location Address
First Line : 2033 W 63RD ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-4306
Country : US
Telephone Number : 317-319-8599
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DIONNA JANAI MILES
Credential :
Telephone Number : 317-317-8599
Provider Enumeration Date : 03/12/2025
Last Update Date : 03/12/2025

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Directions to “EVOLVING LIVES HOMECARE LLC ” Practice Location

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