MEDICARE: TPS CAREGIVING 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	253Z00000X	In Home Supportive Care Agency	13-011960-1	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13-011960-1	OTHER	IN	INDIANA STATE DEPARTMENT OF HEALTH
2	13-013272-2	OTHER	IN	INDIANA STATE DEPARTMENT OF HEALTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376817981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TPS CAREGIVING LLC

Provider Business Mailing Address
First Line	:	1335 SADLIER CIRCLE EAST DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-1051
Country	:	US
Telephone Number	:	317-788-0777
Fax Number	:	317-780-0767

Provider Business Practice Location Address
First Line	:	1335 SADLIER CIRCLE EAST DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-1051
Country	:	US
Telephone Number	:	317-788-0777
Fax Number	:	317-780-0767

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. TIM PAUL
Credential	:
Telephone Number	:	317-788-0777

Provider Enumeration Date	:	02/28/2012
Last Update Date	:	10/02/2023

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Directions to “TPS CAREGIVING LLC ” Practice Location

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