Aging & Disabled Home Health Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

170135931 Issued in IN

Legal business name

AGING & DISABLED HOME HEALTH CARE LLC

Practice address

10500 Crosspoint Blvd
Indianapolis, IN 46256-3331

Phone

(800) 260-6145

Fax

(888) 681-9011

NPI assigned

Dec 19, 2017

Organization subpart

Yes

Parent organization

AGING & DISABLED HOME HEALTH CARE LLCAs reported in NPPES

Name

Hahn G March

Title

President

Phone

(800) 260-6145

Part of

Indiana Signal Health Group Skilled

• A & D Doc @ Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2018.

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1144736737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17460",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462170460",
            "telephone_number": "800-260-6145",
            "fax_number": "888-681-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 CROSSPOINT BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563331",
            "telephone_number": "800-260-6145",
            "fax_number": "888-681-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING & DISABLED HOME HEALTH CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGING & DISABLED HOME HEALTH CARE LLC",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "MARCH",
        "authorized_official_first_name": "HAHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-260-6145"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "IN",
            "license": "170135931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201284430A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A & D Doc @ Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A & D Doc @ Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Indianapolis, IN
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.