MEDICARE: GREATER NIGHTS 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1730977232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER NIGHTS HOMECARE LLC

Provider Business Mailing Address
First Line	:	6028 DICKSON RD APT 4
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-2492
Country	:	US
Telephone Number	:	317-332-0432
Fax Number	:

Provider Business Practice Location Address
First Line	:	3335 STANLEY AVE STE A
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45404-2005
Country	:	US
Telephone Number	:	317-332-0432
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	INDIA WASHINGTON
Credential	:
Telephone Number	:	317-332-0432

Provider Enumeration Date	:	04/25/2025
Last Update Date	:	04/25/2025

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Directions to “GREATER NIGHTS HOMECARE LLC ” Practice Location

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