LIFES JOURNEY OF AVON LLC
NPI 1497417828
Family Medicine - Hospice and Palliative Medicine in Indianapolis, IN

Active since October 13, 2021
10241 E COUNTY ROAD 100 N, INDIANAPOLIS, IN 46234(812) 239-3771(317) 561-6827 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2023, Oct 20, 2021, Oct 13, 2021 (3 updates tracked since 2021).

About Lifes Journey Of Avon Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFES JOURNEY OF AVON LLC (NPI 1497417828) is a healthcare organization registered as a hospice and palliative medicine in Indianapolis, Indiana and active in the NPI registry since October 2021. The organization lists Robert D Wallace, Member, as its authorized official.

NPPES Registry Identity

NPI1497417828
Entity TypeOrganization
Primary Taxonomy207QH0002X
Legal Business NameLIFES JOURNEY PALLIATIVE CARE
Location Address10241 E COUNTY ROAD 100 NIndianapolis, IN 46234-9016
Mailing Address10241 E County Road 100 NIndianapolis, IN 46234-9016 · (812) 239-3771
Fax(317) 561-6827
Organization SubpartNo
Authorized OfficialRobert D WallaceMember · (812) 239-3771
Enumeration DateOctober 13, 2021
Last NPPES UpdateJuly 21, 20233 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1497417828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedClinic/CenterTaxonomy 261Q00000X
10241 E COUNTY ROAD 100 N, Indianapolis, IN 46234

Other Names 1

Doing Business AsLifes Journey Of Avon Llc

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifes Journey Of Avon Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lifes Journey Of Avon LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1972580488
9775 CROSSPOINT BLVD STE 118
Indianapolis, IN 46256
(317) 381-0095
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1205343845
16731 GAITHER BLVD
Westfield, IN 46074
(317) 561-6840
✔ PECOS22 mi
Nurse Practitioner
NPI 1760011605
15201 N CLEVELAND AVE STE 1010
North Fort Myers, FL 33903
(833) 674-2500
✔ PECOS936 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifes Journey Palliative Care's NPI number?

The NPI number for Lifes Journey Palliative Care is 1497417828. It was assigned to this organization in the NPPES registry on October 13, 2021. The provider is doing business as Lifes Journey Of Avon LLC.

Where is Lifes Journey Palliative Care located?

Lifes Journey Palliative Care is located at 10241 E County Road 100 N, Indianapolis, IN 46234. The listed phone number is (812) 239-3771.

What is Lifes Journey Palliative Care's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Lifes Journey Palliative Care enrolled in Medicare?

Yes. Lifes Journey Palliative Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifes Journey Palliative Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lifes Journey Palliative Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lifes Journey Palliative Care was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.