Organization Active NPI

Right Source Homecare LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Indianapolis, IN
National Provider Identifier
1275401747
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
RIGHT SOURCE HOMECARE LLC
Practice address
10742 Hunter Lake LN
Indianapolis, IN 46239-8986
Phone
(317) 275-7238
Fax
(317) 610-3065
NPI assigned
Oct 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Latina Andrea Wade, RN
Title
Ceo
Phone
(317) 964-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

10742 Hunter Lake LN
Indianapolis, IN 46239-8986

Mailing address

10742 Hunter Lake LN
Indianapolis, IN 46239-8986
Phone (317) 275-7238

Other identifiers 1

IdentifierTypeStateIssuer
300073027MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1275401747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10742 HUNTER LAKE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398986",
            "telephone_number": "317-275-7238",
            "fax_number": "317-610-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10742 HUNTER LAKE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398986",
            "telephone_number": "317-275-7238",
            "fax_number": "317-610-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGHT SOURCE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "LATINA",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-964-1010",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300073027",
            "state": "IN"
        }
    ],
    "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 Oct 27, 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.