# JACKIE'S HOME CARE PCS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043020951
- **Authorized official:** SCHRELL WARREN (CEO)
- **Authorized official phone:** (317) 714-1919

## Contact information

- **Practice address:** 3438 N BUTLER AVE, INDIANAPOLIS, IN 46218-1724
- **Practice address phone:** (317) 268-8383
- **Practice address fax:** (317) 961-6094
- **Mailing address:** 3438 N BUTLER AVE, INDIANAPOLIS, IN 46218-1724
- **Mailing address phone:** (317) 268-8383
- **Mailing address fax:** (317) 961-6094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/13/2025
- **Last updated:** 04/08/2026