MEDICARE: MS. TRACY LASHAWN MORRIS-JOINER

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	347C00000X	Private Vehicle		IN
2	174200000X	Meals Provider		IN
3	372600000X	Adult Companion		IN
4	374U00000X	Home Health Aide
5	3747P1801X	Personal Care Attendant	24-017990	IN
6	385H00000X	Respite Care
7	385HR2065X	Child Physical Disabilities Respite Care
8	253Z00000X	In Home Supportive Care Agency	24-017990	IN

General Provider Information

NPI Number	:	1811729643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TRACY LASHAWN MORRIS-JOINER

Provider Business Mailing Address
First Line	:	3901 W 86TH ST STE 310
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1781
Country	:	US
Telephone Number	:	317-590-3925
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 W 86TH ST STE 310
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1781
Country	:	US
Telephone Number	:	317-590-3925
Fax Number	:

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

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	01/03/2025

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