MEDICARE: INDIA T BOWIE

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	164X00000X	Licensed Vocational Nurse	LPN169837	OH
2	253Z00000X	In Home Supportive Care Agency	LPN169837	OH
3	164W00000X	Licensed Practical Nurse	LPN169837	OH

General Provider Information

NPI Number	:	1952239105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INDIA T BOWIE

Provider Business Mailing Address
First Line	:	4667 WALFORD RD APT 9
Second Line	:
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44128-7204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4667 WALFORD RD APT 9
Second Line	:
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44128-7204
Country	:	US
Telephone Number	:	216-415-9450
Fax Number	:

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

Provider Enumeration Date	:	05/09/2026
Last Update Date	:	05/09/2026

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Directions to “ INDIA T BOWIE ” Practice Location

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