Organization Active NPI

Collins Care Services

  • Physical Disabilities Residential Treatment Facility
  • Indianapolis, IN
National Provider Identifier
1194149757
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
CNA1005773 Issued in IN
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

Updated by the provider on Feb 18, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.