MEDICARE: ESTELLINE HILL I

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	104100000X	Social Worker	33013374A	IN

General Provider Information

NPI Number	:	1508735515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTELLINE HILL I

Provider Business Mailing Address
First Line	:	1833 JOHN ST
Second Line	:
City	:	TAYLORSVILLE
State	:	IN
Zip	:	47280-7746
Country	:	US
Telephone Number	:	812-764-5777
Fax Number	:

Provider Business Practice Location Address
First Line	:	3266 N MERIDIAN ST STE 900J
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-5834
Country	:	US
Telephone Number	:	317-981-5503
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	10/30/2025

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Directions to “ ESTELLINE HILL I ” Practice Location

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