MEDICARE: B.MORE 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	253Z00000X	In Home Supportive Care 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	:	1356204903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B.MORE HOME CARE LLC

Provider Business Mailing Address
First Line	:	4040 LASSEN LN
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-8836
Country	:	US
Telephone Number	:	463-246-9982
Fax Number	:	463-464-3004

Provider Business Practice Location Address
First Line	:	4040 LASSEN LN
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-8836
Country	:	US
Telephone Number	:	463-246-9982
Fax Number	:	463-464-3004

Authorized Official
Title or Position	:	CEO
Name	:	DAVADA BOLDEN-BLAKEMORE
Credential	:	RN
Telephone Number	:	317-602-9374

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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