MEDICARE: CONFIDENCE PERSONAL HOMECARE SERVICES, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1730790536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONFIDENCE PERSONAL HOMECARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	6804 THOUSAND OAKS DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-3275
Country	:	US
Telephone Number	:	317-982-4221
Fax Number	:

Provider Business Practice Location Address
First Line	:	6804 THOUSAND OAKS DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-3275
Country	:	US
Telephone Number	:	317-982-4221
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LILLIAR C FARLEY-UKUTE
Credential	:	PROVIDER
Telephone Number	:	317-486-3779

Provider Enumeration Date	:	08/14/2020
Last Update Date	:	07/18/2024

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