MEDICARE: CAREFREE HOME HEALTH, LLC

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	251E00000X	Home Health Agency

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

General Provider Information

NPI Number	:	1124673280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREFREE HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	PO BOX 24476
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-0476
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2840 N HIGH SCHOOL RD STE 2
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-4724
Country	:	US
Telephone Number	:	317-495-2185
Fax Number	:	317-893-7122

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MRS. DIAMOND MARQUE THOMAS-JONES
Credential	:
Telephone Number	:	574-514-5637

Provider Enumeration Date	:	08/06/2019
Last Update Date	:	08/06/2019

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