# PRIMECARE HOME CARE SERVICES OF INDIANA, LLC

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

## Provider details

- **NPI number:** 1083359277
- **Authorized official:** FARIS FLOURNOY (CEO)
- **Authorized official phone:** (404) 904-4276

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2022
- **Last updated:** 07/28/2026