Hoosier Senior Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

12-012443-1 Issued in IN

Legal business name

HOOSIER SENIOR CARE LLC

Practice address

839 Main St
Suite 120
Lafayette, IN 47901-2830

Phone

(800) 977-1856

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Nathan Hedrick

Title

Owner

Phone

(765) 714-7817

Specialties & licenses 2

Addresses

Other names 1

• Hoosiers at Home Doing business as

Locations

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1144522798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 MAIN ST",
            "address_2": "SUITE 120",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479012830",
            "telephone_number": "800-977-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 MAIN ST",
            "address_2": "SUITE 120",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479012830",
            "telephone_number": "800-977-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-714-7817"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "10-012443-1",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "12-012443-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoosiers at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.