MEDICARE: MEDCARE HOME HEALTH

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	:	1790977551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDCARE HOME HEALTH

Provider Business Mailing Address
First Line	:	2511 E 46TH ST
Second Line	:	SUITE Q13
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-2460
Country	:	US
Telephone Number	:	317-541-0546
Fax Number	:	317-541-0687

Provider Business Practice Location Address
First Line	:	2511 E 46TH ST
Second Line	:	SUITE Q13
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-2460
Country	:	US
Telephone Number	:	317-541-0546
Fax Number	:	317-541-0687

Authorized Official
Title or Position	:	CEO
Name	:	LAURA MARGARET ANDERSON
Credential	:
Telephone Number	:	317-541-0546

Provider Enumeration Date	:	08/15/2007
Last Update Date	:	08/15/2007

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Practice Location Address:

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Practice Location Address:

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1902132772 — MRS. MARILYN DAVIS
Practice Location Address:

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Practice Location Address:

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Practice Fax:

Directions to “MEDCARE HOME HEALTH ” Practice Location

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