Individual provider Active NPI

Brandi Dawkins, HOME CARE

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1184459679
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
24-016546-1 Issued in IN
Practice address
8555 River Rd Ste 200
Indianapolis, IN 46240-4304
Phone
(317) 682-8413
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X
In Home Supportive Care Agency 253Z00000X 24-016546-1 IN Primary

Addresses

Primary practice location

8555 River Rd Ste 200
Indianapolis, IN 46240-4304

Mailing address

8555 River Rd Ste 200
Indianapolis, IN 46240-4304
Phone (317) 682-8413

Other names 1

  • Brandi Dawkins Professional name

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

LicenseStateTypeSpecialty
24-016546-1INMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Standard Care Partners Current Accepting new patients
Lavish Living Home Care Current Accepting new patients

Locations

8555 River Rd
Ste 200
Indianapolis, IN 46240
Phone (317) 601-9124

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.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1184459679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 RIVER RD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404304",
            "telephone_number": "317-682-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 RIVER RD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404304",
            "telephone_number": "317-682-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "BRANDI",
        "credential": "HOME CARE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "24-016546-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "DAWKINS",
            "credential": "LAVISH LIVING",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Oct 16, 2024; 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.