MEDICARE: LIFESTYLES HOMECARE 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	11-012685-1	IN

General Provider Information

NPI Number	:	1558637108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFESTYLES HOMECARE LLC

Provider Business Mailing Address
First Line	:	107 FEDERAL DR
Second Line	:
City	:	CHESTERFIELD
State	:	IN
Zip	:	46017-1523
Country	:	US
Telephone Number	:	765-378-0855
Fax Number	:	765-378-0858

Provider Business Practice Location Address
First Line	:	107 FEDERAL DR
Second Line	:
City	:	CHESTERFIELD
State	:	IN
Zip	:	46017-1523
Country	:	US
Telephone Number	:	765-378-0855
Fax Number	:	765-378-0858

Authorized Official
Title or Position	:	OWNER, DIRECTOR OF NURSING
Name	:	AMY RENEE POPE
Credential	:	RN
Telephone Number	:	765-378-0855

Provider Enumeration Date	:	03/28/2012
Last Update Date	:	01/06/2026

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