MEDICARE: PROVIDING EASE HOME HEALTH, 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

General Provider Information

NPI Number	:	1750171583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROVIDING EASE HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	2346 S LYNHURST DR STE 706
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46241-8608
Country	:	US
Telephone Number	:	317-730-5247
Fax Number	:	317-756-9794

Provider Business Practice Location Address
First Line	:	2346 S LYNHURST DR STE 706
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46241-8608
Country	:	US
Telephone Number	:	317-730-5247
Fax Number	:	317-756-9794

Authorized Official
Title or Position	:	OWNER
Name	:	LESLIE SPELLS
Credential	:
Telephone Number	:	317-730-5247

Provider Enumeration Date	:	05/06/2025
Last Update Date	:	05/06/2025

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