Organization Active NPI

My Care at Home Home Health Care Services, LLC

  • Home Health Agency
  • Shelbyville, IN
National Provider Identifier
1003344979
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
16-013957-4 Issued in IN
Legal business name
MY CARE AT HOME HOME HEALTH CARE SERVICES, LLC
Practice address
1516 S Harrison St
Shelbyville, IN 46176-2746
Phone
(317) 559-4230
Fax
(317) 825-0736
NPI assigned
May 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joann Kapunan Wiksten
Title
Adminstrator
Phone
(317) 559-4230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 16-013957-4 IN Primary

Addresses

Primary practice location

1516 S Harrison St
Shelbyville, IN 46176-2746

Mailing address

1516 S Harrison St
Shelbyville, IN 46176-2746
Phone (317) 559-4230

National Provider Directory

National Provider Directory

Locations

1516 S Harrison St
Shelbyville, IN 46176
Phone (317) 559-4230

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003344979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 S HARRISON ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461762746",
            "telephone_number": "317-559-4230",
            "fax_number": "317-825-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 S HARRISON ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461762746",
            "telephone_number": "317-559-4230",
            "fax_number": "317-825-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CARE AT HOME HOME HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WIKSTEN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "KAPUNAN",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "317-559-4230"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "16-013957-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.