MEDICARE: A LOVING PLACE HOME CARE

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1942099809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A LOVING PLACE HOME CARE

Provider Business Mailing Address
First Line	:	11427 FAIRPORT CIR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-9017
Country	:	US
Telephone Number	:	463-701-2598
Fax Number	:

Provider Business Practice Location Address
First Line	:	724 LANCASTER AVE
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-2542
Country	:	US
Telephone Number	:	463-701-2598
Fax Number	:	317-723-3038

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. KAMIAHA LASHONN CROSS
Credential	:
Telephone Number	:	463-701-2598

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

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Directions to “A LOVING PLACE HOME CARE ” Practice Location

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