A Tree of Life Home Health Care Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A TREE OF LIFE HOME HEALTH CARE CORP

Practice address

110 E Wayne St FL 12
Fort Wayne, IN 46802-2611

Phone

(317) 506-0024

Fax

(317) 350-0043

NPI assigned

Sep 16, 2024

Last updated

Sep 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Malinda Butler, NPNPI 1316461676

Title

Manager

Phone

(317) 447-4406

Specialties & licenses 6

Addresses

Other names 1

• A TREE OF LIFE HOME HEALTH CARE CORP Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Malinda Butler

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1316461676
  Authorized official Same address or phone

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1114754959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E WAYNE ST",
            "address_2": "12TH FLOOR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46802",
            "telephone_number": "317-506-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E WAYNE ST FL 12",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022611",
            "telephone_number": "317-506-0024",
            "fax_number": "317-350-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TREE OF LIFE HOME HEALTH CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-447-4406",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A TREE OF LIFE HOME HEALTH CARE CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.