Provider Demographics
NPI:1013703750
Name:HOME CARE COMPANIONS LLC
Entity type:Organization
Organization Name:HOME CARE COMPANIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:QUATIA
Authorized Official - Middle Name:LAKISE
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-748-0347
Mailing Address - Street 1:8888 KEYSTONE XING STE 1329
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-4609
Mailing Address - Country:US
Mailing Address - Phone:317-855-3065
Mailing Address - Fax:317-855-3065
Practice Address - Street 1:8888 KEYSTONE XING STE 1329
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-4609
Practice Address - Country:US
Practice Address - Phone:317-855-3065
Practice Address - Fax:317-855-3065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300096949Medicaid