MEDICARE: SHANNON & WINSTON HOME HEALTH AGENCY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	364SX0106X	Occupational Health Clinical Nurse Specialist
2	374U00000X	Home Health Aide
3	376J00000X	Homemaker
4	376K00000X	Nurse's Aide
5	163W00000X	Registered Nurse
6	164W00000X	Licensed Practical Nurse

General Provider Information

NPI Number	:	1497698369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHANNON & WINSTON HOME HEALTH AGENCY LLC

Provider Business Mailing Address
First Line	:	9269 N TEMPLE AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-1337
Country	:	US
Telephone Number	:	317-694-4123
Fax Number	:

Provider Business Practice Location Address
First Line	:	1070 E 86TH ST STE 72A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-1845
Country	:	US
Telephone Number	:	317-694-4123
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SONYA WINSTON
Credential	:
Telephone Number	:	317-694-4123

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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