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NPI Code Detail

MEDICARE: TAJ CARE LLC DBA PRESTIGE LOVING HOME CARE

MEDICARE: TAJ CARE LLC DBA PRESTIGE LOVING HOME CARE
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1558115238
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAJ CARE LLC DBA PRESTIGE LOVING HOME CARE
Provider Business Mailing Address
First Line : 1957 N COLLEGE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-1734
Country : US
Telephone Number : 317-457-1575
Fax Number :
Provider Business Practice Location Address
First Line : 1957 N COLLEGE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-1734
Country : US
Telephone Number : 317-457-1575
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : ALETA OSBORN
Credential :
Telephone Number : 317-457-1575
Provider Enumeration Date : 04/17/2024
Last Update Date : 04/17/2024

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Directions to “TAJ CARE LLC DBA PRESTIGE LOVING HOME CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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