Healthcare Provider Details
I. General information
NPI: 1831067131
Provider Name (Legal Business Name): MARY'S PRECIOUS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1398 N SHADELAND AVE
INDIANAPOLIS IN
46219-3652
US
IV. Provider business mailing address
275 MEDICAL DR UNIT 133
CARMEL IN
46082-0059
US
V. Phone/Fax
- Phone: 317-249-0137
- Fax:
- Phone: 317-249-0137
- Fax: 317-249-0137
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARY
WARD
Title or Position: OWNER
Credential:
Phone: 317-249-0137