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General NPI Number Information
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NPI Number | 1962210948
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Entity Type | Organization
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Legal Business Name | MEDDRIVE LLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 5610 CRAWFORDSVILLE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46224-3727
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Country | US
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Telephone | 317-821-7275
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Fax | 888-729-3336
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Provider Business Mailing Address
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Address Line | 5130 TUSCANY LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-5464
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Country | US
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Telephone | 317-719-8765
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Fax | 888-729-3336
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Authorized Official
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Title or Position | OWNER
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Name | MELODY DAVIS
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Credential | OWNER
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Telephone | 317-719-8765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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