Organization Active NPI

Visiting Angel LLC

  • In Home Supportive Care Agency
  • Fort Wayne, IN
National Provider Identifier
1255211017
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VISITING ANGEL LLC
Practice address
5608 Decatur Rd Ste 101
Fort Wayne, IN 46806-3020
Phone
(260) 920-8251
NPI assigned
Sep 3, 2025
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Zay YaNPI 1376330241
Title
Admin
Phone
(260) 920-8251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5608 Decatur Rd Ste 101
Fort Wayne, IN 46806-3020

Mailing address

5608 Decatur Rd Ste 101
Fort Wayne, IN 46806-3020
Phone (260) 920-8251

National Provider Directory

National Provider Directory

Locations

5608 Decatur Rd
Ste 101
Fort Wayne, IN 46806
Phone (260) 920-8251

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1255211017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 DECATUR RD STE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468063020",
            "telephone_number": "260-920-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 DECATUR RD STE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468063020",
            "telephone_number": "260-920-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING ANGEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "YA",
        "authorized_official_first_name": "ZAY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "260-920-8251"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.