Organization Active NPI

Dellavenia'S Home Care, LLC

  • Attendant Care Provider
  • Indianapolis, IN
National Provider Identifier
1114743754
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
DELLAVENIA'S HOME CARE, LLC
Practice address
3657 Reflections LN Unit 6
Indianapolis, IN 46214-5104
Phone
(469) 406-2217
NPI assigned
Nov 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Shaundell Pace
Title
Ceo/Owner
Phone
(469) 406-2217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Primary

Addresses

Primary practice location

3657 Reflections LN Unit 6
Indianapolis, IN 46214-5104

Mailing address

3657 Reflections LN Unit 6
Indianapolis, IN 46214-5104
Phone (469) 406-2217

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1114743754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3657 REFLECTIONS LN UNIT 6",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462145104",
            "telephone_number": "469-406-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 REFLECTIONS LN UNIT 6",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462145104",
            "telephone_number": "469-406-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELLAVENIA'S HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "SHAUNDELL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "469-406-2217"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "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 23, 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.