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NPI Code Detail

MEDICARE: GRACE FOR YOU HOME CARE LLC

MEDICARE: GRACE FOR YOU 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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1841167525
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRACE FOR YOU HOME CARE LLC
Provider Business Mailing Address
First Line : 10456 KINGS GAP WAY
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46234-3647
Country : US
Telephone Number : 317-350-5077
Fax Number :
Provider Business Practice Location Address
First Line : 10456 KINGS GAP WAY
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46234-3647
Country : US
Telephone Number : 317-350-5077
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : JAZMIN CROOM
Credential :
Telephone Number : 317-350-5077
Provider Enumeration Date : 10/20/2025
Last Update Date : 10/20/2025

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Directions to “GRACE FOR YOU HOME CARE LLC ” Practice Location

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