MEDICARE: A1 BRINGING GLORY HOME SERVICES 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	10-012481-1	IN

General Provider Information

NPI Number	:	1841593449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1 BRINGING GLORY HOME SERVICES LLC

Provider Business Mailing Address
First Line	:	5610 CRAWFORDSVILLE RD BUILDING 9 SUITE 912
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-3714
Country	:	US
Telephone Number	:	317-757-6004
Fax Number	:	317-757-6004

Provider Business Practice Location Address
First Line	:	5610 CRAWFORDSVILLE RD BUILDING 9 SUITE 912
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-3714
Country	:	US
Telephone Number	:	317-757-6004
Fax Number	:	317-757-6004

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. GLORIA J MCGREGOR
Credential	:	CEO
Telephone Number	:	317-757-6004

Provider Enumeration Date	:	12/21/2010
Last Update Date	:	11/09/2020

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