Grayson Home Care Agency LLC
Technician, Personal Care Attendant in Camby, IN. Organization (NPI-2).
NPI number1053129486
StatusActive
Last updated in NPPESDec 18, 2024
Details
- NPI
- 1053129486
- Entity type
- Organization (NPI-2)
- Legal business name
- Grayson Home Care Agency LLC
- Organization subpart
- No
- Enumeration date
- Dec 18, 2024
- Certification date
- Dec 18, 2024
- Last updated
- Dec 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
9119 Bakers Corner DrCamby, IN 46113-9457
Phone 317-946-6679
Mailing address
9119 Bakers Corner DrCamby, IN 46113-9457
Phone 317-946-6679
Authorized official
India Boone
Owner/Manager
3179466679
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