Organization
JACKIE'S HOME CARE PCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCHRELL WARREN (CEO)
(317) 714-1919
Entity
Organization
Contact information
Practice address
3438 N BUTLER AVE, INDIANAPOLIS, IN 46218-1724
(317) 268-8383
(317) 961-6094
Mailing address
3438 N BUTLER AVE, INDIANAPOLIS, IN 46218-1724
(317) 268-8383
(317) 961-6094
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/13/2025
Last updated
04/08/2026
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