NPIMap

A Source of Life Home Care LLC

Organization Active NPI In Home Supportive Care Agency · Indianapolis, IN

NPI 1871261982 · NPPES record last updated Mar 19, 2025

Key facts

NPI
1871261982
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
A SOURCE OF LIFE HOME CARE LLC
Practice address
1111 E 54TH St Ste 211
Indianapolis, IN 46220-3581
Phone
(317) 490-5526
NPI assigned
Sep 2, 2021
Organization subpart
No

Authorized official

Name
Mrs. Cathy Bullock NPI 1932554094
Title
Owner
Phone
(317) 490-5526

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2346 S Lynhurst Dr
Bldg B
Indianapolis, IN 46241

1111 E 54th St
Ste 211
Indianapolis, IN 46220
Phone (317) 490-5526

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

1111 E 54TH St Ste 211
Indianapolis, IN 46220-3581

Mailing address

1111 E 54TH St Ste 211
Indianapolis, IN 46220-3581
Phone (317) 490-5526

Other providers in Indianapolis, IN

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

Sources for this page

Verify at the official NPI Registry.