Active NPI
Earlita Mila Webster
- Personal Care Attendant
- Indianapolis, IN
National Provider Identifier
1265196158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 21-015381-1
- Practice address
- 9169 Cinnebar Dr
Indianapolis, IN 46268-5211 - Phone
- (317) 410-7686
- NPI assigned
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 21-015381-1 | IN | Primary |
Addresses
Primary practice location
9169 Cinnebar Dr
Indianapolis, IN 46268-5211
Mailing address
9169 Cinnebar Dr
Indianapolis, IN 46268-5211
Phone (317) 410-7686
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-015381-1 | IN | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assisted Loved Ones LLC | Current | Accepting new patients | |
| Assisted Loved Ones Home Health, Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Indianapolis, IN
- NPI 1255148607
-
- In Home Supportive Care Agency
- Indianapolis, IN
- NPI 1528812385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1265196158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9169 CINNEBAR DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462685211",
"telephone_number": "317-410-7686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9169 CINNEBAR DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462685211",
"telephone_number": "317-410-7686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "EARLITA",
"middle_name": "MILA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "IN",
"license": "21-015381-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"endpointDescription": "n/a",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "n/a",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "9169 Cinnebar Dr",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462685211",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.