Indy in-Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INDY IN-HOME CARE LLC

Practice address

5330B W Washington St
Indianapolis, IN 46241-2147

Phone

(317) 933-6855

NPI assigned

Oct 23, 2024

Organization subpart

No

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

Authorized official

Name

Samuel Beraki Sibhatu

Title

President & It Manager

Phone

(317) 933-6855

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1194546903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330B W WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462412147",
            "telephone_number": "317-933-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330B W WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462412147",
            "telephone_number": "317-933-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY IN-HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "SIBHATU",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "BERAKI",
        "authorized_official_title_or_position": "PRESIDENT & IT MANAGER",
        "authorized_official_telephone_number": "317-933-6855"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.