Individual provider · Type 1 NPI

Melissa Harris

PACE Provider Organization · Indianapolis, IN

NPI number 1124980776 Active

Practice location

1403 Carroll White Dr
Indianapolis, IN 46219-3911

Specialties and licenses

TaxonomyCodeLicense
PACE Provider Organization Primary 251T00000X25-019085-1 (IN)

PACE Provider Organization: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE ser…

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About NPI 1124980776

Melissa Harris's National Provider Identifier is 1124980776, issued on Dec 2, 2025. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 2, 2025.