Organization Active NPI

Geraldines Wellness Group LLC

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1184426173
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GERALDINES WELLNESS GROUP LLC
Practice address
5807 Lakefield Dr
Indianapolis, IN 46254-4903
Phone
(317) 419-1441
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Iesha Vaughn, MHRM, APS.PSY.MA.PP
Title
Owner
Phone
(317) 419-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5807 Lakefield Dr
Indianapolis, IN 46254-4903

Mailing address

5807 Lakefield Dr
Indianapolis, IN 46254-4903
Phone (317) 419-1441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1184426173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 LAKEFIELD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544903",
            "telephone_number": "317-419-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 LAKEFIELD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544903",
            "telephone_number": "317-419-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALDINES WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "IESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-419-1441",
        "authorized_official_credential": "MHRM, APS.PSY.MA.PP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 Mar 27, 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.