MEDICARE: WOODS 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558167023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODS HOME CARE LLC

Provider Business Mailing Address
First Line	:	2725 E 56TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3539
Country	:	US
Telephone Number	:	317-279-6363
Fax Number	:	317-561-9117

Provider Business Practice Location Address
First Line	:	2725 E 56TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3539
Country	:	US
Telephone Number	:	317-279-6363
Fax Number	:	317-561-9117

Authorized Official
Title or Position	:	CEO
Name	:	ERICA ENGLEMAN
Credential	:
Telephone Number	:	317-956-0848

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	02/25/2025

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Directions to “WOODS HOME CARE LLC ” Practice Location

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