MEDICARE: GENUINE HANDS 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	309968145	OTHER	IN	SELF

General Provider Information

NPI Number	:	1508666165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENUINE HANDS HOME CARE LLC

Provider Business Mailing Address
First Line	:	9607 GULL LAKE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-6893
Country	:	US
Telephone Number	:	317-384-8738
Fax Number	:

Provider Business Practice Location Address
First Line	:	9607 GULL LAKE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-6893
Country	:	US
Telephone Number	:	406-445-7318
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALEXIS PERKINS
Credential	:
Telephone Number	:	317-384-8738

Provider Enumeration Date	:	03/13/2025
Last Update Date	:	03/17/2025

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