Organization Active NPI

First Generation Residential Living

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1013808526
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FIRST GENERATION RESIDENTIAL LIVING
Practice address
1805 Wellesley Commons
Indianapolis, IN 46219-2427
Phone
(317) 809-9453
NPI assigned
Jul 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Authorized official

Name
Keanah Williams
Title
Owner
Phone
(317) 809-9453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1805 Wellesley Commons
Indianapolis, IN 46219-2427

Mailing address

1805 Wellesley Commons
Indianapolis, IN 46219-2427
Phone (317) 809-9453

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752278400000",
    "number": "1013808526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 WELLESLEY COMMONS",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462192427",
            "telephone_number": "317-809-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 WELLESLEY COMMONS",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462192427",
            "telephone_number": "317-809-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST GENERATION RESIDENTIAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KEANAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-809-9453"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Jul 12, 2025; 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.