MEDICARE: A BETTER LIFE HOME CARE 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	:	1174298574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BETTER LIFE HOME CARE LLC

Provider Business Mailing Address
First Line	:	5521 LAUREL HALL DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-2302
Country	:	US
Telephone Number	:	463-204-8164
Fax Number	:

Provider Business Practice Location Address
First Line	:	5521 LAUREL HALL DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-2302
Country	:	US
Telephone Number	:	463-204-8164
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	TRACEY TYLER
Credential	:
Telephone Number	:	317-608-9517

Provider Enumeration Date	:	08/09/2021
Last Update Date	:	08/09/2021

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