MEDICARE: TRISOMY HOME 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1427982271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRISOMY HOME CARE

Provider Business Mailing Address
First Line	:	5709 MATTESON DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-4150
Country	:	US
Telephone Number	:	317-366-8148
Fax Number	:

Provider Business Practice Location Address
First Line	:	5709 MATTESON DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-4150
Country	:	US
Telephone Number	:	317-366-8148
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JAQUIESE C WILSON
Credential	:	LPN
Telephone Number	:	317-366-8148

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “TRISOMY HOME CARE ” Practice Location

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