MEDICARE: HOME CARE ADVANTAGE 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	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1578408217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE ADVANTAGE LLC

Provider Business Mailing Address
First Line	:	9511 ANGOLA CT STE 242C
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-3625
Country	:	US
Telephone Number	:	317-708-9511
Fax Number	:

Provider Business Practice Location Address
First Line	:	9511 ANGOLA CT STE 242C
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-3625
Country	:	US
Telephone Number	:	317-708-9511
Fax Number	:

Authorized Official
Title or Position	:	AGENCY MANAGER
Name	:	KARLISHA RUSSELL
Credential	:
Telephone Number	:	317-708-9511

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “HOME CARE ADVANTAGE LLC ” Practice Location

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