Healthcare Provider Details

I. General information

NPI: 1225956980
Provider Name (Legal Business Name): LENORAS TRUSTWORTHY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6731 VALLEY FORGE LN
INDIANAPOLIS IN
46237-9624
US

IV. Provider business mailing address

6731 VALLEY FORGE LN
INDIANAPOLIS IN
46237-9624
US

V. Phone/Fax

Practice location:
  • Phone: 317-832-2384
  • Fax: 317-608-3653
Mailing address:
  • Phone: 317-832-2384
  • Fax: 317-608-3653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: LENORE MIKEL WATERS-TYLER
Title or Position: OWNER
Credential:
Phone: 317-832-2384