Active NPI
Precious Pearl Home Health Care Agency LLC
- Home Health Agency
- Indianapolis, IN
National Provider Identifier
1003639998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PRECIOUS PEARL HOME HEALTH CARE AGENCY LLC
- Practice address
- 6801 Lake Plaza Dr Ste C305
Indianapolis, IN 46220-4067 - Phone
- (317) 499-6154
- Fax
- (317) 827-6350
- NPI assigned
- Nov 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Decolby P Anderson, CEO, RN
- Title
- Ceo
- Phone
- (317) 499-6154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6801 Lake Plaza Dr Ste C305
Indianapolis, IN 46220-4067
Mailing address
6801 Lake Plaza Dr Ste C305
Indianapolis, IN 46220-4067
Phone (317) 499-6154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Home health agency certification: CCN 15K231
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PRECIOUS PEARL HOME HEALTH CARE AGENCY LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 24, 2025
- Last certification
- Nov 19, 2025
- Ownership / control type
- Proprietary
- Facility address
- 6801 Lake Plaza Dr Ste C-305
Indianapolis, IN 46220
National Provider Directory
National Provider DirectoryLocations
6801 Lake Plaza Dr
Ste C305
Indianapolis, IN 46220
Phone (317) 499-6154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730937600000",
"number": "1003639998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 LAKE PLAZA DR STE C305",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462204067",
"telephone_number": "317-499-6154",
"fax_number": "317-827-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 LAKE PLAZA DR STE C305",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462204067",
"telephone_number": "317-499-6154",
"fax_number": "317-827-6350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECIOUS PEARL HOME HEALTH CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-07",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DECOLBY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "317-499-6154",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CEO, RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.