Organization Active NPI

Amenity Home Care Inc

  • In Home Supportive Care Agency
  • Fishers, IN
National Provider Identifier
1275044299
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
17014010-1 Issued in IN
Legal business name
AMENITY HOME CARE INC
Practice address
12045 Bodley PL
Fishers, IN 46037-3714
Phone
(317) 537-7621
Fax
(317) 559-7169
NPI assigned
Oct 17, 2017
Last updated
Oct 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

Name
Ms. Abiola Medinat Oladiran, RN
Title
Owner-President
Phone
(317) 537-7621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 17014010-1 IN Primary

Addresses

Primary practice location

12045 Bodley PL
Fishers, IN 46037-3714

Mailing address

12045 Bodley PL
Fishers, IN 46037-3714
Phone (317) 537-7621

Other identifiers 1

IdentifierTypeStateIssuer
17014010-1OtherINPERSONAL SERVICES AGENCY LICENSE

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, 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": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1275044299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12045 BODLEY PL",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373714",
            "telephone_number": "317-537-7621",
            "fax_number": "317-559-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12045 BODLEY PL",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373714",
            "telephone_number": "317-537-7621",
            "fax_number": "317-559-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMENITY HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "OLADIRAN",
        "authorized_official_first_name": "ABIOLA",
        "authorized_official_middle_name": "MEDINAT",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "317-537-7621",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "17014010-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL SERVICES AGENCY LICENSE",
            "identifier": "17014010-1",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.