Tracy Davis

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

24-017164-1 Issued in IN

Practice address

3585 Sutherland Ave
Indianapolis, IN 46218-1001

Phone

(317) 966-6535

NPI assigned

Jan 14, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Xceptional Home Care Services LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
  • NPI 1528948478
  NPD Authorized official

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1174334767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 SUTHERLAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462181001",
            "telephone_number": "317-966-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 SUTHERLAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462181001",
            "telephone_number": "317-966-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "24-017164-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Davis
• Thomas Davis, M.D.
• Tila Davis, RBT
• Timothy Davis
• Timothy L Davis, MD PHD
• Ty Austin Davis, DO
• Victoria Davis, RBT
• Wade Bowers Davis, MD
• William Anthony Davis II, D.O.
• Winston Brooks Davis, MD

• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.