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

Marquita Annette Tillman

Individual provider Home Health Aide · NPI 1457219305

Marquita Annette Tillman is a Home Health Aide in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2026

Practice location Address checks out

532 Blaine Ave
South Bend, IN 46616-1026
Phone: (219) 214-8383
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X · Licence 0900522287 (IN)

Record details

NPI number1457219305
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 11, 2026

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