MEDICARE: LOTUS FAMILY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	104100000X	Social Worker
2	106S00000X	Behavior Technician
3	171M00000X	Case Manager/Care Coordinator
4	251S00000X	Community/Behavioral Health Agency
5	372500000X	Chore Provider
6	372600000X	Adult Companion
7	376J00000X	Homemaker
8	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1588272520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOTUS FAMILY SERVICES, LLC

Provider Business Mailing Address
First Line	:	5699 E 71ST ST STE 3A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3950
Country	:	US
Telephone Number	:	574-326-0989
Fax Number	:

Provider Business Practice Location Address
First Line	:	5699 E 71ST ST STE 3A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3950
Country	:	US
Telephone Number	:	574-326-0989
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. NANCY CHAVEZ
Credential	:
Telephone Number	:	574-326-0989

Provider Enumeration Date	:	07/15/2020
Last Update Date	:	07/15/2020

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Directions to “LOTUS FAMILY SERVICES, LLC ” Practice Location

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