MEDICARE: MILLYS HOME CARE

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1316880511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLYS HOME CARE

Provider Business Mailing Address
First Line	:	533 LYNN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-3811
Country	:	US
Telephone Number	:	317-524-8429
Fax Number	:	317-524-8429

Provider Business Practice Location Address
First Line	:	533 LYNN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-3811
Country	:	US
Telephone Number	:	317-524-8429
Fax Number	:	317-524-8429

Authorized Official
Title or Position	:	OWNER
Name	:	SHYLETTIA WIL
Credential	:	OWNER
Telephone Number	:	317-524-8429

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “MILLYS HOME CARE ” Practice Location

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