Organization Active NPI

Avid Angels Caregiving, Inc

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1104224013
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AVID ANGELS CAREGIVING, INC
Practice address
7152 Moon CT
Indianapolis, IN 46241-3668
Phone
(317) 481-0400
Fax
(866) 649-5663
NPI assigned
Dec 8, 2014
Last updated
Dec 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Brooke Nicole Watkins
Title
Ceo
Phone
(317) 481-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7152 Moon CT
Indianapolis, IN 46241-3668

Mailing address

7152 Moon CT
Indianapolis, IN 46241-3668
Phone (317) 504-5084

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1104224013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7152 MOON CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462413668",
            "telephone_number": "317-504-5084",
            "fax_number": "866-649-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7152 MOON CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462413668",
            "telephone_number": "317-481-0400",
            "fax_number": "866-649-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVID ANGELS CAREGIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-481-0400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "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 Dec 9, 2014; 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.