Active NPI
Chaitina Anthony
- Home Health Agency
- Indianapolis, IN
National Provider Identifier
1174259089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 22-0146511
- Practice address
- 8336 Lakeshore Cir Apt 3814
Indianapolis, IN 46250-4833 - Phone
- (317) 827-0073
- NPI assigned
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 22-0146511 | IN | Primary |
Addresses
Primary practice location
8336 Lakeshore Cir Apt 3814
Indianapolis, IN 46250-4833
Mailing address
8336 Lakeshore Cir Apt 3814
Indianapolis, IN 46250-4833
Phone (317) 778-4555
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22-0146511 | IN | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supporting Angels LLC | Home Health | Current | Accepting new patients |
| Supporting Angels LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Aide
- Beachwood, OH
- NPI 1932075678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1174259089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8336 LAKESHORE CIR APT 3814",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462504833",
"telephone_number": "317-778-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8336 LAKESHORE CIR APT 3814",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462504833",
"telephone_number": "317-827-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "CHAITINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IN",
"license": "22-0146511",
"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 Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.