Organization Active NPI

Prominence Care Home Care LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1265324354
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PROMINENCE CARE HOME CARE LLC
Practice address
7035 McIntosh LN Apt 1B
Indianapolis, IN 46226-1852
Phone
(317) 391-0945
NPI assigned
Jul 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Lakisha VaughnNPI 1942191788
Title
Own
Phone
(317) 515-1049

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

7035 McIntosh LN Apt 1B
Indianapolis, IN 46226-1852

Mailing address

7035 McIntosh LN Apt 1B
Indianapolis, IN 46226-1852
Phone (317) 391-0945

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1265324354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 MCINTOSH LN APT 1B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261852",
            "telephone_number": "317-391-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 MCINTOSH LN APT 1B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261852",
            "telephone_number": "317-391-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMINENCE CARE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "OWN",
        "authorized_official_telephone_number": "317-515-1049"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 15, 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.