MEDICARE: TEYWANA GILL

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	372600000X	Adult Companion
2	3747A0650X	Attendant Care Provider
3	376K00000X	Nurse's Aide	HHA2506189	IN
4	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1588511109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEYWANA GILL

Provider Business Mailing Address
First Line	:	2816 BALTIMORE AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-2610
Country	:	US
Telephone Number	:	463-303-3376
Fax Number	:

Provider Business Practice Location Address
First Line	:	2816 BALTIMORE AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-2610
Country	:	US
Telephone Number	:	463-303-3376
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ TEYWANA GILL ” Practice Location

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