MEDICARE: TRACEY LYNN GEORGE HOME CARE SERVICES

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	251E00000X	Home Health Agency	QMA0100233	IN

General Provider Information

NPI Number	:	1720875701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACEY LYNN GEORGE HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	1024 CHARLESTON WEST DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-3573
Country	:	US
Telephone Number	:	317-666-1804
Fax Number	:

Provider Business Practice Location Address
First Line	:	1024 CHARLESTON WEST DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-3573
Country	:	US
Telephone Number	:	317-666-1804
Fax Number	:

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

Provider Enumeration Date	:	04/22/2025
Last Update Date	:	04/22/2025

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