MEDICARE: AGE IN PLACE INDIANA

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	:	1225819329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGE IN PLACE INDIANA

Provider Business Mailing Address
First Line	:	7230 ARBUCKLE CMNS STE 174
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-1791
Country	:	US
Telephone Number	:	317-732-7203
Fax Number	:

Provider Business Practice Location Address
First Line	:	7230 ARBUCKLE CMNS STE 174
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-1791
Country	:	US
Telephone Number	:	317-732-7203
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JALISSA HURD
Credential	:
Telephone Number	:	317-771-3536

Provider Enumeration Date	:	10/13/2023
Last Update Date	:	10/13/2023

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Directions to “AGE IN PLACE INDIANA ” Practice Location

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