Healthcare Provider Details

I. General information

NPI: 1093067555
Provider Name (Legal Business Name): RACHEL D TAYLOR MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 CONGRESSIONAL BLVD STE 200
CARMEL IN
46032-5631
US

IV. Provider business mailing address

303 CONGRESSIONAL BLVD STE 200
CARMEL IN
46032-5631
US

V. Phone/Fax

Practice location:
  • Phone: 317-999-1797
  • Fax:
Mailing address:
  • Phone: 317-999-1797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number26-020332-1
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: