MEDICARE: QUALITY PATHWAYS HOME CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	385H00000X	Respite Care
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1114774601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY PATHWAYS HOME CARE LLC

Provider Business Mailing Address
First Line	:	2318 SALEM PARK DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-7794
Country	:	US
Telephone Number	:	317-442-5113
Fax Number	:

Provider Business Practice Location Address
First Line	:	2318 SALEM PARK DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-7794
Country	:	US
Telephone Number	:	317-442-5113
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TERIA PETERSON
Credential	:
Telephone Number	:	317-442-5113

Provider Enumeration Date	:	05/02/2024
Last Update Date	:	05/02/2024

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Directions to “QUALITY PATHWAYS HOME CARE LLC ” Practice Location

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