Organization Active NPI

Compassionate Home Healthcare, Inc.

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1073050258
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
17-014114-1 Issued in IN
Legal business name
COMPASSIONATE HOME HEALTHCARE, INC.
Practice address
5455 W 86TH St
Suite 108
Indianapolis, IN 46268-1536
Phone
(317) 757-5368
NPI assigned
Jan 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Miss Ithream M Blackmon
Title
Owner
Phone
(317) 757-5368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 17-014114-1 IN Primary

Addresses

Primary practice location

5455 W 86TH St
Suite 108
Indianapolis, IN 46268-1536

Mailing address

PO Box 53341
Indianapolis, IN 46253-0341
Phone (317) 757-5368

National Provider Directory

National Provider Directory

Locations

5455 W 86th St
Ste 108
Indianapolis, IN 46268
Phone (317) 757-5368

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1073050258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53341",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462530341",
            "telephone_number": "317-757-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 W 86TH ST",
            "address_2": "SUITE 108",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681536",
            "telephone_number": "317-757-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "ITHREAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-757-5368",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "17-014114-1",
            "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 Apr 3, 2017; 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.