# PRIMETIME HOME CARE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PrimeTime Home Care Agency LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992488928
- **Authorized official:** LATASHA BANKS (OWNER)
- **Authorized official phone:** (463) 206-2126

## Contact information

- **Practice address:** 1709 N SHADELAND AVE, INDIANAPOLIS, IN 46219-2733
- **Practice address phone:** (463) 206-2126
- **Mailing address:** 1709 N SHADELAND AVE, INDIANAPOLIS, IN 46219-2733
- **Mailing address phone:** (463) 206-2126

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2023
- **Last updated:** 08/08/2023