Active NPI
Schrell D Warren
- In Home Supportive Care Agency
- Indianapolis, IN
National Provider Identifier
1083482319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 4961 Winston Drive
Indianapolis, IN 46226 - Phone
- (317) 268-8383
- NPI assigned
- Dec 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | IN | Primary |
Addresses
Primary practice location
4961 Winston Drive
Indianapolis, IN 46226
Mailing address
4084 Pendleton Way Ste 275
Indianapolis, IN 46226-5224
Phone (317) 268-8383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackie'S Home Care PCS | In Home Supportive Care | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1083482319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4084 PENDLETON WAY STE 275",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462265224",
"telephone_number": "317-268-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4961 WINSTON DRIVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46226",
"telephone_number": "317-268-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "SCHRELL",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-15",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 9, 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.