MEDICARE: SHAMECA BARNES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	291U00000X	Clinical Medical Laboratory
2	291U00000X	Clinical Medical Laboratory	IN
3	372500000X	Chore Provider
4	372600000X	Adult Companion
5	3747P1801X	Personal Care Attendant
6	376J00000X	Homemaker
7	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1316538622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMECA BARNES

Provider Business Mailing Address
First Line	:	4842 OAKBROOK DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-1118
Country	:	US
Telephone Number	:	317-658-2088
Fax Number	:

Provider Business Practice Location Address
First Line	:	4842 OAKBROOK DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-1118
Country	:	US
Telephone Number	:	317-658-2088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2021
Last Update Date	:	03/09/2022

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Directions to “ SHAMECA BARNES ” Practice Location

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