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Organization

PRIMECARE HOME CARE SERVICES OF INDIANA, LLC

Active
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Organization

PRIMECARE HOME CARE SERVICES OF INDIANA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FARIS FLOURNOY (CEO)
(404) 904-4276
Entity
Organization

Contact information

Practice address
8945 N MERIDIAN ST STE 110, INDIANAPOLIS, IN 46260-5390
(317) 559-6062
(317) 559-4362
Mailing address
8063 MADISON AVE # 1035, INDIANAPOLIS, IN 46227-6001
(317) 559-6062
(317) 559-4362

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—

Other

Enumeration date
05/02/2022
Last updated
07/28/2026
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