MEDICARE: DYNAMICWAY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	343900000X	Non-emergency Medical Transport (VAN)
4	385H00000X	Respite Care
5	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1801643598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNAMICWAY LLC

Provider Business Mailing Address
First Line	:	9783 E 116TH ST # A428
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46037-2822
Country	:	US
Telephone Number	:	317-533-2137
Fax Number	:	317-812-9504

Provider Business Practice Location Address
First Line	:	6014 OAKFORGE LN
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-1270
Country	:	US
Telephone Number	:	317-533-2137
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHELLE BEELER
Credential	:
Telephone Number	:	317-533-2137

Provider Enumeration Date	:	05/01/2024
Last Update Date	:	06/03/2024

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Directions to “DYNAMICWAY LLC ” Practice Location

Language	Start Address	Practice Location

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