Active NPI
Elder Care Providers of Indiana, Incorporated
- Home Health Agency
- Indianapolis, IN
National Provider Identifier
1023267127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 08-011798-2
- Legal business name
- ELDER CARE PROVIDERS OF INDIANA, INCORPORATED
- Doing business as
- Home Instead Senior Care
- Practice address
- 1387 N Shadeland Ave
Indianapolis, IN 46219-3605 - Phone
- (317) 357-5411
- NPI assigned
- Sep 12, 2008
- 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. Georgette Smith
- Title
- President
- Phone
- (317) 357-5411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 08-011798-2 | IN | Primary |
Addresses
Primary practice location
1387 N Shadeland Ave
Indianapolis, IN 46219-3605
Mailing address
1387 N Shadeland Ave
Indianapolis, IN 46219-3605
Phone (317) 357-5411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200858330A | Medicaid | IN |
Other names 1
- Home Instead Senior Care
National Provider Directory
National Provider DirectoryLocations
1387 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 357-5411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221177600000",
"number": "1023267127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1387 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462193605",
"telephone_number": "317-357-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1387 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462193605",
"telephone_number": "317-357-5411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELDER CARE PROVIDERS OF INDIANA, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-12",
"last_updated": "2008-09-12",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "GEORGETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-357-5411",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IN",
"license": "08-011798-2",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200858330A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Instead Senior Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.