Tyniece Williams

Individual provider Active NPI In Home Supportive Care Agency · Lawrence, IN

NPI 1629909783 · NPPES record last updated May 27, 2026

Key facts

NPI
1629909783
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
5023 E 56TH St Ste 305
Lawrence, IN 46226-1471
Phone
(317) 498-7017
Fax
(463) 210-1113
NPI assigned
May 27, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X IN
Non-emergency Medical Transport (VAN) 343900000X IN
Homemaker 376J00000X IN
In Home Supportive Care Agency 253Z00000X IN Yes

Addresses

Primary practice location

5023 E 56TH St Ste 305
Lawrence, IN 46226-1471

Mailing address

5023 E 56TH St Ste 305
Lawrence, IN 46226-1471
Phone (317) 498-7017

Other providers in Lawrence, IN

All providers in Lawrence, IN · In Home Supportive Care Agency in Indiana

Sources for this page

Verify at the official NPI Registry.