Healthcare Provider Details

I. General information

NPI: 1265375026
Provider Name (Legal Business Name): LIFE CHANGES HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3518 BISCAYNE RD
INDIANAPOLIS IN
46226-6026
US

IV. Provider business mailing address

3518 BISCAYNE RD
INDIANAPOLIS IN
46226-6026
US

V. Phone/Fax

Practice location:
  • Phone: 317-728-7505
  • Fax:
Mailing address:
  • Phone: 317-728-7505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LADONNA WHITFIELD-LOWERY
Title or Position: OWNER
Credential: PCA
Phone: 317-728-7505