Organization Active NPI

Mercy Services, LLC

Doing business as Legacy Caregiving

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1083215305
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MERCY SERVICES, LLC
Doing business as
Legacy Caregiving
Practice address
4855 S Emerson Ave Ste 202
Indianapolis, IN 46203-6931
Phone
(317) 374-2593
Fax
(317) 981-1985
NPI assigned
Nov 3, 2020
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Brooke Baise
Title
Administrator
Phone
(317) 374-2593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4855 S Emerson Ave Ste 202
Indianapolis, IN 46203-6931

Mailing address

4855 S Emerson Ave Ste 202
Indianapolis, IN 46203-6931
Phone (317) 374-2593

Other identifiers 1

IdentifierTypeStateIssuer
300027988MedicaidIN

Other names 1

  • Legacy Caregiving Doing business as

National Provider Directory

National Provider Directory

Locations

3960 Southeastern Ave
Ste 113
Indianapolis, IN 46203

4855 S Emerson Ave
Ste 202
Indianapolis, IN 46203
Phone (317) 374-2593

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1083215305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 S EMERSON AVE STE 202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462036931",
            "telephone_number": "317-374-2593",
            "fax_number": "317-981-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 S EMERSON AVE STE 202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462036931",
            "telephone_number": "317-374-2593",
            "fax_number": "317-981-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "BAISE",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-374-2593"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300027988",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Caregiving",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Caregiving",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 17, 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.

Verify at the official NPI Registry.