MEDICARE: A1C CARE CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073922563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1C CARE CENTER INC

Provider Business Mailing Address
First Line	:	7400 N SHADELAND AVE STE 235
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2084
Country	:	US
Telephone Number	:	317-537-9522
Fax Number	:	317-219-0550

Provider Business Practice Location Address
First Line	:	7400 N SHADELAND AVE STE 235
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2084
Country	:	US
Telephone Number	:	317-537-9522
Fax Number	:	317-219-0550

Authorized Official
Title or Position	:	CEO
Name	:	MRS. MELANIE GRAVES
Credential	:
Telephone Number	:	317-537-9522

Provider Enumeration Date	:	08/08/2014
Last Update Date	:	10/27/2025

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