MEDICARE: SIMPLY MOORE 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	3747P1801X	Personal Care Attendant
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1477251254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMPLY MOORE HOME CARE LLC

Provider Business Mailing Address
First Line	:	2201 E 46TH ST STE 137
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-1449
Country	:	US
Telephone Number	:	888-343-0646
Fax Number	:	463-317-7998

Provider Business Practice Location Address
First Line	:	2201 E 46TH ST STE 137
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-1449
Country	:	US
Telephone Number	:	888-343-0646
Fax Number	:	463-317-7998

Authorized Official
Title or Position	:	OWNER
Name	:	HOLLY ROBINSON
Credential	:
Telephone Number	:	317-413-6277

Provider Enumeration Date	:	02/21/2023
Last Update Date	:	02/17/2026

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