MEDICARE: UMOJA LOVING CARE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1154154110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UMOJA LOVING CARE

Provider Business Mailing Address
First Line	:	1440 N MOUNT ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-2860
Country	:	US
Telephone Number	:	317-205-6883
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 N MOUNT ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-2860
Country	:	US
Telephone Number	:	317-205-6883
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. MARIAMA K DIALLO THOMAS
Credential	:
Telephone Number	:	317-205-6883

Provider Enumeration Date	:	08/23/2024
Last Update Date	:	08/23/2024

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Directions to “UMOJA LOVING CARE ” Practice Location

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