MEDICARE: ELOUISE 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1528900420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELOUISE HOME CARE LLC

Provider Business Mailing Address
First Line	:	2304 SALEM PARK DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-7794
Country	:	US
Telephone Number	:	317-480-6755
Fax Number	:

Provider Business Practice Location Address
First Line	:	2304 SALEM PARK DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-7794
Country	:	US
Telephone Number	:	317-480-6755
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	MS. VICTORIA LYNN WASHINGTON
Credential	:
Telephone Number	:	317-480-6755

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ELOUISE HOME CARE LLC ” Practice Location

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