MEDICARE: MARY'S PRECIOUS CARE 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1831067131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARY'S PRECIOUS CARE LLC

Provider Business Mailing Address
First Line	:	275 MEDICAL DR UNIT 133
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46082-0059
Country	:	US
Telephone Number	:	317-249-0137
Fax Number	:	317-249-0137

Provider Business Practice Location Address
First Line	:	1398 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-3652
Country	:	US
Telephone Number	:	317-249-0137
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARY WARD
Credential	:
Telephone Number	:	317-249-0137

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	10/28/2025

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