MEDICARE: MYRNA HOLMES

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	:	1821979154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYRNA HOLMES

Provider Business Mailing Address
First Line	:	366 WASHINGTON POINTE DR STE 370B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-2639
Country	:	US
Telephone Number	:	317-772-9895
Fax Number	:

Provider Business Practice Location Address
First Line	:	366 WASHINGTON POINTE DR STE 370B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-2639
Country	:	US
Telephone Number	:	317-772-9895
Fax Number	:

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

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	09/11/2025

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Directions to “ MYRNA HOLMES ” Practice Location

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