# PROTECTED PROVISION HOMECARE LLC

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

## Provider details

- **NPI number:** 1770493363
- **Authorized official:** MS. TAMMI LEWIS (PRESIDENT)
- **Authorized official phone:** (317) 658-6516

## Contact information

- **Practice address:** 616 TREYBURN LAKES WAY, INDIANAPOLIS, IN 46239-8895
- **Practice address phone:** (317) 658-6516
- **Mailing address:** 616 TREYBURN LAKES WAY, INDIANAPOLIS, IN 46239-8895
- **Mailing address phone:** (317) 658-6516

## Taxonomy

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

## Other

- **Enumeration date:** 09/08/2026
- **Last updated:** 09/15/2026