Organization Active NPI

Aggressive Care Personal Services LLC

  • In Home Supportive Care Agency
  • McCordsville, IN
National Provider Identifier
1124300066
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AGGRESSIVE CARE PERSONAL SERVICES LLC
Practice address
6681 W Philadelphia Dr
MC Cordsville, IN 46055-9697
Phone
(317) 695-5866
Fax
(317) 214-1240
NPI assigned
Sep 16, 2011
Last updated
Sep 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Patrice S Shannon, MD
Title
President
Phone
(317) 695-5866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6681 W Philadelphia Dr
MC Cordsville, IN 46055-9697

Mailing address

6681 W Philadelphia Dr
MC Cordsville, IN 46055-9697
Phone (317) 695-5866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1124300066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 W PHILADELPHIA DR",
            "city": "MC CORDSVILLE",
            "state": "IN",
            "postal_code": "460559697",
            "telephone_number": "317-695-5866",
            "fax_number": "317-214-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6681 W PHILADELPHIA DR",
            "city": "MC CORDSVILLE",
            "state": "IN",
            "postal_code": "460559697",
            "telephone_number": "317-695-5866",
            "fax_number": "317-214-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGGRESSIVE CARE PERSONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-695-5866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.