MEDICARE: PERKINS PERSONAL 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1518643816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERKINS PERSONAL CARE LLC

Provider Business Mailing Address
First Line	:	3526 PIXLEY CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-2228
Country	:	US
Telephone Number	:	317-999-2044
Fax Number	:

Provider Business Practice Location Address
First Line	:	3526 PIXLEY CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-2228
Country	:	US
Telephone Number	:	317-999-2044
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TANIASHA PERKINS
Credential	:	PCA
Telephone Number	:	317-999-2044

Provider Enumeration Date	:	06/22/2023
Last Update Date	:	02/18/2026

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