MEDICARE: COMPASSIONATE MINDS 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1770478125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE MINDS HOME CARE

Provider Business Mailing Address
First Line	:	801 N CAPITOL AVE # 1
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1104
Country	:	US
Telephone Number	:	317-370-1990
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 N CAPITOL AVE # 1
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1104
Country	:	US
Telephone Number	:	317-370-1990
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	VIONTA JONED
Credential	:
Telephone Number	:	317-370-1990

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	06/09/2025

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