Raina R Green-Smith, HOME CARE AGENCY

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

190147131 Issued in IN

Practice address

4445 N Bolton Ave
Indianapolis, IN 46226-3324

Phone

(317) 614-5329

NPI assigned

Jun 25, 2020

Last updated

Jun 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Taylored by Renee's Home Health Agency LLC

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1790596229
  NPD Authorized official

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1245856236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26165",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462260165",
            "telephone_number": "317-614-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 N BOLTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462263324",
            "telephone_number": "317-614-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-SMITH",
        "first_name": "RAINA",
        "middle_name": "R",
        "credential": "HOME CARE AGENCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "19-014713-1",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "190147131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahja Green-Carney, LCSW
• Christine J Green-Hayes, MA
• Thelma Lynette Green-Mack, MD
• Heather M. Green-Schembra, NP
• Ashton Monique Green-Sims, DMD
• Adam Michael Green, DO
• Alise Green
• Amy Ellen Green, CPHT-ADV
• Benjamin Lawrence Green, MD
• Brenda Mae Green, MS CCC SLP

• 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 Jun 25, 2020; 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.