DJB Homecare Agency LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DJB HOMECARE AGENCY LLC.

Practice address

9325 Memorial Park Dr Apt 2B
Indianapolis, IN 46216-2271

Phone

(317) 965-1490

NPI assigned

Feb 27, 2025

Organization subpart

No

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

Authorized official

Name

Delores Brewer

Title

Ceo

Phone

(317) 965-1490

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1073310967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 MEMORIAL PARK DR APT 2B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162271",
            "telephone_number": "317-965-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 MEMORIAL PARK DR APT 2B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162271",
            "telephone_number": "317-965-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJB HOMECARE AGENCY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-965-1490"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.