MEDICARE: COVERED BRIDGE HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1386502532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COVERED BRIDGE HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	5610 CRAWFORDSVILLE RD STE 1203
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-3772
Country	:	US
Telephone Number	:	317-557-0988
Fax Number	:

Provider Business Practice Location Address
First Line	:	5610 CRAWFORDSVILLE RD STE 1203
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-3772
Country	:	US
Telephone Number	:	317-557-0988
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TRESSIE MAXWELL
Credential	:
Telephone Number	:	317-557-0988

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “COVERED BRIDGE HEALTH SERVICES LLC ” Practice Location

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