Organization Active NPI

Precious Pearl Home Health Care Agency LLC

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1003639998
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Nov 7, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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

Verify at the official NPI Registry.