Organization Active NPI

Integrated Home Heath Care Agency, LLC

Doing business as Ihhca, LLC

  • Nursing Care Agency
  • Indianapolis, IN
National Provider Identifier
1184957219
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
INTEGRATED HOME HEATH CARE AGENCY, LLC
Doing business as
Ihhca, LLC
Practice address
8964 Cockerham Cir
Indianapolis, IN 46278-5044
Phone
(317) 412-8531
Fax
(317) 344-3159
NPI assigned
Sep 8, 2009
Organization subpart
Yes
Parent organization
INTEGRATED HOME HEALTH CARE AGENCY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Mrs. Victoria Alexandria Keaton, MSN
Title
President/Ceo
Phone
(317) 412-8531

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X IN
Home Health Agency 251E00000X IN
Nursing Care Agency 251J00000X IN Primary
In Home Supportive Care Agency 253Z00000X IN
Private Vehicle 347C00000X IN

Addresses

Primary practice location

8964 Cockerham Cir
Indianapolis, IN 46278-5044

Mailing address

8964 Cockerham Cir
Indianapolis, IN 46278-5044
Phone (317) 412-8531

Other identifiers 2

IdentifierTypeStateIssuer
200947300AMedicaidIN
09-012-142-1OtherINHOME HEALTH CARE

Other names 1

  • IHHCA, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1184957219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8964 COCKERHAM CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462785044",
            "telephone_number": "317-412-8531",
            "fax_number": "317-344-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8964 COCKERHAM CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462785044",
            "telephone_number": "317-412-8531",
            "fax_number": "317-344-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HOME HEATH CARE AGENCY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED HOME HEALTH CARE AGENCY, LLC",
        "enumeration_date": "2009-09-08",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "KEATON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "317-412-8531",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200947300A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH CARE",
            "identifier": "09-012-142-1",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHHCA, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 22, 2015; 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.