MEDICARE: D-BEST HOME SERVICES 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
1	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care

General Provider Information

NPI Number	:	1255609715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D-BEST HOME SERVICES LLC

Provider Business Mailing Address
First Line	:	5610 CRAWFORDSVILLE RD STE 709
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-3714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5610 CRAWFORDSVILLE RD STE 709
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-3714
Country	:	US
Telephone Number	:	317-243-5824
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. TAYE AKINWEKOMI
Credential	:	RN
Telephone Number	:	317-243-5824

Provider Enumeration Date	:	12/12/2011
Last Update Date	:	12/12/2011

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