# MAMA ANNIE'S HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1215881479
- **Authorized official:** TALISHA T WILSON WILSON (OWNER)
- **Authorized official phone:** (317) 579-5416

## Contact information

- **Practice address:** 9165 OTIS AVE STE 107, INDIANAPOLIS, IN 46216-2307
- **Practice address phone:** (317) 579-5416
- **Practice address fax:** (317) 579-5416
- **Mailing address:** 9165 OTIS AVE STE 107, INDIANAPOLIS, IN 46216-2307
- **Mailing address phone:** (317) 579-5416
- **Mailing address fax:** (317) 579-5416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2026
- **Last updated:** 02/27/2026