MEDICARE: HUMAN SERVICES, INC.

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	343900000X	Non-emergency Medical Transport (VAN)	34900000	IN

General Provider Information

NPI Number	:	1639150543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMAN SERVICES, INC.

Provider Business Mailing Address
First Line	:	730 CLINTON ST
Second Line	:	815 CHADBOURNE DRIVE INDIANAPOLIS , IN 46216
City	:	GARY
State	:	IN
Zip	:	46406-1453
Country	:	US
Telephone Number	:	219-944-0094
Fax Number	:	317-270-7298

Provider Business Practice Location Address
First Line	:	730 CLINTON ST
Second Line	:
City	:	GARY
State	:	IN
Zip	:	46406-1453
Country	:	US
Telephone Number	:	317-270-7298
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. GLADYS FRYE
Credential	:
Telephone Number	:	219-944-0094

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	08/22/2020

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Directions to “HUMAN SERVICES, INC. ” Practice Location

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