Individual provider Active NPI

Ashley Burse

  • Personal Care Attendant
  • Indianapolis, IN
National Provider Identifier
1114812070
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
25-018831-1 Issued in IN
Practice address
1028 N Shadeland Ave
Indianapolis, IN 46219-3629
Phone
(463) 400-2294
NPI assigned
Jun 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X 25-018831-1 IN
Homemaker 376J00000X 25-018831-1 IN
Personal Care Attendant 3747P1801X 25-018831-1 IN Primary

Addresses

Primary practice location

1028 N Shadeland Ave
Indianapolis, IN 46219-3629

Mailing address

PO Box 36272
Indianapolis, IN 46236-0272

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

State licenses

LicenseStateTypeSpecialty
25-018831-1INMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Home Agency Inc CurrentSince Jun 15, 2025 Accepting new patients

Locations

1028 N Shadeland Ave
Indianapolis, IN 46219
Phone (463) 400-2294

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1114812070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36272",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462360272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193629",
            "telephone_number": "463-400-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSE",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "IN",
            "license": "25-018831-1",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "IN",
            "license": "25-018831-1",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "IN",
            "license": "25-018831-1",
            "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 Jun 11, 2025; 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.