Provider Demographics
NPI:1962210948
Name:MEDDRIVE LLC
Entity type:Organization
Organization Name:MEDDRIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:317-719-8765
Mailing Address - Street 1:5130 TUSCANY LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-5464
Mailing Address - Country:US
Mailing Address - Phone:317-719-8765
Mailing Address - Fax:888-729-3336
Practice Address - Street 1:5610 CRAWFORDSVILLE RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46224-3727
Practice Address - Country:US
Practice Address - Phone:317-821-7275
Practice Address - Fax:888-729-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No385H00000XRespite Care FacilityRespite Care