Healthcare Provider Details

I. General information

NPI: 1255123626
Provider Name (Legal Business Name): MEDEQUIP SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 OLD VINES TRL
GREENWOOD IN
46143-3412
US

IV. Provider business mailing address

1217 OLD VINES TRL
GREENWOOD IN
46143-3412
US

V. Phone/Fax

Practice location:
  • Phone: 317-497-0254
  • Fax: 317-497-0254
Mailing address:
  • Phone: 317-497-0254
  • Fax: 317-497-0254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ANGELA TAYLOR
Title or Position: CEO
Credential:
Phone: 317-533-3507