Active NPI
Living Support Solutions LLC
- In Home Supportive Care Agency
- New Haven, IN
National Provider Identifier
1033931308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LIVING SUPPORT SOLUTIONS LLC
- Practice address
- 4568 Timber Creek Pkwy
New Haven, IN 46774-3147 - Phone
- (260) 635-4828
- NPI assigned
- Oct 29, 2024
- Last updated
- Oct 29, 2024
- 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
- Jennifer Hollis
- Title
- Owner
- Phone
- (260) 442-7635
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
4568 Timber Creek Pkwy
New Haven, IN 46774-3147
Mailing address
4568 Timber Creek Pkwy
New Haven, IN 46774-3147
Phone (260) 635-4828
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730160000000",
"number": "1033931308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4568 TIMBER CREEK PKWY",
"city": "NEW HAVEN",
"state": "IN",
"postal_code": "467743147",
"telephone_number": "260-635-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4568 TIMBER CREEK PKWY",
"city": "NEW HAVEN",
"state": "IN",
"postal_code": "467743147",
"telephone_number": "260-635-4828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING SUPPORT SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-29",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "HOLLIS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "260-442-7635"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.