Organization Active NPI

Southern Indiana Senior Care, Inc

  • In Home Supportive Care Agency
  • Bloomington, IN
National Provider Identifier
1326371600
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
09-011762-1 Issued in IN
Legal business name
SOUTHERN INDIANA SENIOR CARE, INC
Doing business as
Home Instead Senior Care
Practice address
676 S College Ave
Bloomington, IN 47403-2527
Phone
(812) 961-2222
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Ms. Janet A Barrows
Title
Owner/MNGR
Phone
(812) 961-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 09-011762-1 IN Primary

Addresses

Primary practice location

676 S College Ave
Bloomington, IN 47403-2527

Mailing address

676 S College Ave
Bloomington, IN 47403-2527
Phone (812) 961-2222

Other identifiers 1

IdentifierTypeStateIssuer
200948510MedicaidIN

Other names 1

  • Home Instead Senior Care Doing business as

National Provider Directory

National Provider Directory

Locations

676 S College Ave
Bloomington, IN 47403
Phone (812) 961-2222

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1326371600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 S COLLEGE AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032527",
            "telephone_number": "812-961-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 S COLLEGE AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032527",
            "telephone_number": "812-961-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA SENIOR CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "BARROWS",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MNGR",
        "authorized_official_telephone_number": "812-961-2222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "09-011762-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200948510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.