MEDICARE: STEPS OF LIFE HOME CARE, 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
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1417548876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPS OF LIFE HOME CARE, LLC

Provider Business Mailing Address
First Line	:	4842 OAKBROOK DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-1118
Country	:	US
Telephone Number	:	317-658-2088
Fax Number	:

Provider Business Practice Location Address
First Line	:	4842 OAKBROOK DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-1118
Country	:	US
Telephone Number	:	317-658-2088
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAMECA BARNES
Credential	:
Telephone Number	:	317-658-2088

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	01/29/2021

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Directions to “STEPS OF LIFE HOME CARE, LLC ” Practice Location

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