Taja Calvin

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

1048B Sagamore Pkwy W # 1011
West Lafayette, IN 47906-1446

Phone

(765) 247-0837

NPI assigned

Jun 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sanctuary Home Care Agency LLC

  • In Home Supportive Care Agency
  • West Lafayette, IN
  • NPI 1619581741
  NPD Authorized official
• Sanctuary Personal Service Agency

  • Non-emergency Medical Transport (VAN)
  • West Lafayette, IN
  • NPI 1285437996
  NPD Authorized official

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1083231823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048B SAGAMORE PKWY W # 1011",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061446",
            "telephone_number": "765-247-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048B SAGAMORE PKWY W # 1011",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061446",
            "telephone_number": "765-247-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVIN",
        "first_name": "TAJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-27",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sanctuaryhomecareagency.com/",
            "affiliation": "N",
            "endpointDescription": "Phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1048B Sagamore Pkwy W # 1011",
            "city": "West Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479061446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marcilena Cabello
• Jeffrey S. Cahoon, MD
• Yun Cai
• Calla Clinic, LLC
• Calla Wellness Center, LLC
• Deanna Campbell, RD
• Kaydence Campos
• Janet Canino, PH.D., LMFT
• Brea Carlson, CCC-SLP, IBCLC
• Kaley Carpenter

• In Home Supportive Care Agency in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; 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.