Active NPI
A Village of Love Residential LLC
- Personal Care Attendant
- Indianapolis, IN
National Provider Identifier
1003645953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- A VILLAGE OF LOVE RESIDENTIAL LLC
- Practice address
- 1855 Bauer Rd
Indianapolis, IN 46218-4814 - Phone
- (317) 625-4130
- NPI assigned
- Jul 30, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Bobby Joe Tyus
- Title
- President
- Phone
- (317) 625-4130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Care Attendant
- Indianapolis, IN
- NPI 1689403537
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1855 Bauer Rd
Indianapolis, IN 46218-4814
Mailing address
1855 Bauer Rd
Indianapolis, IN 46218-4814
Phone (317) 625-4130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2024.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1003645953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 BAUER RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462184814",
"telephone_number": "317-625-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 BAUER RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462184814",
"telephone_number": "317-625-4130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A VILLAGE OF LOVE RESIDENTIAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A",
"authorized_official_last_name": "TYUS",
"authorized_official_first_name": "BOBBY",
"authorized_official_middle_name": "JOE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-625-4130"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- A Touch With Love LLC
- A Village of Caring Hearts Home Care LLC
- A Village of Caring Hearts Home Care LLC
- A Village of Love Home Healthcare LLC
- A Village of Love Homecare LLC
- A Well Being Mental Health and Consulting, LLC
- A Work in Progress, LLC
- A- Mending Hand LLC
- A-1 Health & Medical L.L.C.
- A-Cellent Nursing Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.