MEDICARE: ADVANTAGE POINT 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	376J00000X	Homemaker
2	3747P1801X	Personal Care Attendant

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	:	1477120624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE POINT HOME CARE

Provider Business Mailing Address
First Line	:	1238 RACQUET CLUB SOUTH DR APT A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1137
Country	:	US
Telephone Number	:	317-809-5387
Fax Number	:

Provider Business Practice Location Address
First Line	:	1238 RACQUET CLUB SOUTH DR APT A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1137
Country	:	US
Telephone Number	:	317-809-5387
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. DANIELLE PARKS
Credential	:
Telephone Number	:	317-809-5387

Provider Enumeration Date	:	06/07/2021
Last Update Date	:	07/14/2021

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Directions to “ADVANTAGE POINT HOME CARE ” Practice Location

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