MEDICARE: GENTLE SUPPORT HOME 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	374U00000X	Home Health Aide
2	376J00000X	Homemaker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982561858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE SUPPORT HOME CARE LLC

Provider Business Mailing Address
First Line	:	9511 ANGOLA CT STE 201
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-3190
Country	:	US
Telephone Number	:	317-331-8833
Fax Number	:	463-242-4043

Provider Business Practice Location Address
First Line	:	9511 ANGOLA CT STE 201
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-3190
Country	:	US
Telephone Number	:	317-331-8833
Fax Number	:	463-242-4043

Authorized Official
Title or Position	:	OWNER
Name	:	QUIERRA FOX
Credential	:
Telephone Number	:	317-331-8833

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “GENTLE SUPPORT HOME CARE LLC ” Practice Location

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