Organization Active NPI

Ovwmariel LLC

Doing business as Interim Personal Care and Support

  • Home Health Agency
  • Anderson, IN
National Provider Identifier
1073994323
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OVWMARIEL LLC
Doing business as
Interim Personal Care and Support
Practice address
100 W 11TH St
Suite 100
Anderson, IN 46016-2069
Phone
(765) 393-9683
Fax
(765) 393-9684
NPI assigned
Jun 12, 2015
Last updated
Jun 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Olga V Wilson
Title
President
Phone
(765) 393-9683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

100 W 11TH St
Suite 100
Anderson, IN 46016-2069

Mailing address

10954 Glazer Way
Fishers, IN 46038-9394
Phone (317) 531-6992

Other names 1

  • Interim Personal Care and Support Doing business as

National Provider Directory

National Provider Directory

Locations

100 W 11th St
Ste 100
Anderson, IN 46016
Phone (765) 393-9683

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1073994323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10954 GLAZER WAY",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460389394",
            "telephone_number": "317-531-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 11TH ST",
            "address_2": "SUITE 100",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460162069",
            "telephone_number": "765-393-9683",
            "fax_number": "765-393-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVWMARIEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-393-9683"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Personal Care and Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.