MEDICARE: CICOA AGING & IN HOME SOLUTIONS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	133VN1005X	Renal Nutrition Registered Dietitian
2	133VN1101X	Gerontological Nutrition Registered Dietitian
3	171M00000X	Case Manager/Care Coordinator	IN
4	133NN1002X	Nutrition Education Nutritionist
5	133N00000X	Nutritionist
6	251B00000X	Case Management Agency
7	133VN1201X	Obesity and Weight Management Nutrition Registered Dietitian
8	171M00000X	Case Manager/Care Coordinator
9	133VN1006X	Metabolic Nutrition Registered Dietitian
10	133V00000X	Registered Dietitian

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275608713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CICOA AGING & IN HOME SOLUTIONS INC

Provider Business Mailing Address
First Line	:	8440 WOODFIELD CROSSING BLVD STE 175
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-4359
Country	:	US
Telephone Number	:	317-254-5465
Fax Number	:	317-254-5494

Provider Business Practice Location Address
First Line	:	8440 WOODFIELD CROSSING BLVD STE 175
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-4359
Country	:	US
Telephone Number	:	317-254-5465
Fax Number	:	317-254-5494

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	LISA MARIE SCHNEEKLOTH
Credential	:
Telephone Number	:	317-803-6033

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	04/27/2026

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