MEDICARE: COMPASSION HOME CARE 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
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1770271777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSION HOME CARE LLC

Provider Business Mailing Address
First Line	:	2804 55TH PL STE G
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3546
Country	:	US
Telephone Number	:	317-600-3298
Fax Number	:	317-426-4060

Provider Business Practice Location Address
First Line	:	2804 55TH PL STE G
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3546
Country	:	US
Telephone Number	:	317-975-9223
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LAYVONNE MONIQUE JOHNSON
Credential	:
Telephone Number	:	317-600-3298

Provider Enumeration Date	:	04/27/2023
Last Update Date	:	10/27/2025

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Directions to “COMPASSION HOME CARE LLC ” Practice Location

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