NPIMap

Organization Active NPI

Princessizzy LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1124898960
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRINCESSIZZY LLC
Practice address
6505 E 82ND St Ste 105
Indianapolis, IN 46250-1543
Phone
(317) 900-6202
Fax
(317) 543-7881
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Angie Lee
Title
Owner
Phone
(317) 900-6202

Specialties & licenses 1

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

Addresses

Primary practice location

6505 E 82ND St Ste 105
Indianapolis, IN 46250-1543

Mailing address

6505 E 82ND St Ste 105
Indianapolis, IN 46250-1543
Phone (317) 900-6202

Other names 1

  • Serenity Care Services Doing business as

National Provider Directory

National Provider Directory

Locations

6505 E 82nd St
Ste 105
Indianapolis, IN 46250
Phone (317) 900-6202

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1124898960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 E 82ND ST STE 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501543",
            "telephone_number": "317-900-6202",
            "fax_number": "317-543-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 E 82ND ST STE 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501543",
            "telephone_number": "317-900-6202",
            "fax_number": "317-543-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCESSIZZY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-900-6202"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 3, 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.