Active NPI
Collins Care Services
- Physical Disabilities Residential Treatment Facility
- Indianapolis, IN
National Provider Identifier
1194149757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- CNA1005773
- Legal business name
- COLLINS CARE SERVICES
- Practice address
- 4270 Burkhart West Dr
D
Indianapolis, IN 46227-1465 - Phone
- (317) 987-1128
- NPI assigned
- Feb 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Kristina Collins, MT. ,HHA, CNA
- Title
- Owner Operator
- Phone
- (317) 987-1128
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | CNA1005773 | IN | Primary |
Addresses
Primary practice location
4270 Burkhart West Dr
D
Indianapolis, IN 46227-1465
Mailing address
4270 Burkhart West Dr
D
Indianapolis, IN 46227-1465
Phone (317) 987-1128
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392681600000",
"number": "1194149757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4270 BURKHART WEST DR",
"address_2": "D",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271465",
"telephone_number": "317-987-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4270 BURKHART WEST DR",
"address_2": "D",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271465",
"telephone_number": "317-987-1128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLINS CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-18",
"last_updated": "2014-02-18",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "KRISTINA",
"authorized_official_title_or_position": "OWNER OPERATOR",
"authorized_official_telephone_number": "317-987-1128",
"authorized_official_credential": "MT. ,HHA, CNA"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "IN",
"license": "CNA1005773",
"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 Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.