Primary Personal Services LLC

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

PRIMARY PERSONAL SERVICES LLC

Practice address

4755 Kingsway Dr Ste 402
Indianapolis, IN 46205-1549

Phone

(317) 658-9315

Fax

(317) 707-9457

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Rieketta WillisNPI 1790378073

Title

Manager/Owner

Phone

(317) 658-9315

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rieketta Danyelle Willis

  • Attendant Care Provider
  • Indianapolis, IN
  • NPI 1790378073
  NPD Authorized official

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1073376240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 KINGSWAY DR STE 402",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051549",
            "telephone_number": "317-658-9315",
            "fax_number": "317-707-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 KINGSWAY DR STE 402",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051549",
            "telephone_number": "317-658-9315",
            "fax_number": "317-707-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PERSONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "RIEKETTA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "317-658-9315"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prime Rose Healthcare Staffing, LLC
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• Primecare Home Care Services of Indiana, LLC

• Attendant Care Provider in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Attendant Care Provider in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.