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NPI Code Detail

MEDICARE: PASSIONATE GIFTED ANGELS HOMECARE

MEDICARE: PASSIONATE GIFTED ANGELS HOMECARE
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1548117708
Entity Type Code : Organization
Provider Name (Legal Business Name) : PASSIONATE GIFTED ANGELS HOMECARE
Provider Business Mailing Address
First Line : 741 W 26TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-5505
Country : US
Telephone Number : 317-501-0093
Fax Number :
Provider Business Practice Location Address
First Line : 741 W 26TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-5505
Country : US
Telephone Number : 317-501-0093
Fax Number :
Authorized Official
Title or Position : OWNER/MANAGING
Name : LAQUAWANDA BOBBITT
Credential :
Telephone Number : 317-501-0093
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “PASSIONATE GIFTED ANGELS HOMECARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.