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NPI Code Detail

MEDICARE: ASSURING QUALITY LIVING HOMECARE SERVICES

MEDICARE: ASSURING QUALITY LIVING HOMECARE SERVICES
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1891500229
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSURING QUALITY LIVING HOMECARE SERVICES
Provider Business Mailing Address
First Line : 7221 MADISON VILLAGE CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-5210
Country : US
Telephone Number : 317-414-5635
Fax Number :
Provider Business Practice Location Address
First Line : 7221 MADISON VILLAGE CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-5210
Country : US
Telephone Number : 317-414-5635
Fax Number :
Authorized Official
Title or Position : CEO
Name : BREANNA WOODS
Credential :
Telephone Number : 317-414-5635
Provider Enumeration Date : 02/12/2025
Last Update Date : 02/12/2025

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Directions to “ASSURING QUALITY LIVING HOMECARE SERVICES ” Practice Location

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