Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antionette S. Minor, PSA

Individual provider Home Health Aide · NPI 1508688029

Antionette S. Minor, PSA is an Undefined Non-Physician Type (Specify) in Indianapolis, Indiana. Qualified in 1996, 30 years ago. Registered with an NPI since 2024.

Years since qualifying
30
In the registry since
2024
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Practice location Address checks out

107 Belmar Ave
Indianapolis, IN 46219-5219
Phone: (317) 445-3707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1508688029
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSA
Sole proprietorNo
NPI enumeratedOctober 28, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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