Private Care Nursing Management Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

06003610-1 Issued in IN

Legal business name

PRIVATE CARE NURSING MANAGEMENT INC

Doing business as

Allied Home Care

Practice address

5138 W Pike Plaza Rd
Indianapolis, IN 46254

Phone

(317) 328-0665

Fax

(317) 328-0699

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Mattingly

Title

Owner

Phone

(317) 328-0665

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Allied Home Care Doing business as

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1194780510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5138 W PIKE PLAZA RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543003",
            "telephone_number": "317-328-0665",
            "fax_number": "317-328-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5138 W PIKE PLAZA RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46254",
            "telephone_number": "317-328-0665",
            "fax_number": "317-328-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE CARE NURSING MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-328-0665",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "06003610-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200418040A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allied Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Pritchard, MS, OTR, CDRS
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• Alexandra Privat
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• Lindsey Prizevoits
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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 Aug 10, 2018; 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.