Organization Active NPI

Baby Boomer Home Care and Group Home Corp

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1033087291
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BABY BOOMER HOME CARE AND GROUP HOME CORP
Practice address
55 E 22ND St
Indianapolis, IN 46202-1427
Phone
(317) 201-1655
NPI assigned
Oct 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Ms. Donesha J Moorer
Title
President
Phone
(317) 201-1655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

55 E 22ND St
Indianapolis, IN 46202-1427

Mailing address

55 E 22ND St
Indianapolis, IN 46202-1427
Phone (317) 201-1655

National Provider Directory

National Provider Directory

Locations

55 E 22nd St
Indianapolis, IN 46202
Phone (317) 201-1655

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1033087291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E 22ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021427",
            "telephone_number": "317-201-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E 22ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021427",
            "telephone_number": "317-201-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABY BOOMER HOME CARE AND GROUP HOME CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "MOORER",
        "authorized_official_first_name": "DONESHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-201-1655",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Oct 28, 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.