Organization Active NPI

At Home - Hospice Services, LLC.

  • Community Based Hospice Care Agency
  • Indianapolis, IN
National Provider Identifier
1336214816
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AT HOME - HOSPICE SERVICES, LLC.
Practice address
6201 La Pas TRL
Suite 170
Indianapolis, IN 46268-4887
Phone
(317) 396-1573
Fax
(317) 297-7895
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rick Johnson
Title
Managing Partners
Phone
(317) 396-1573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

6201 La Pas TRL
Suite 170
Indianapolis, IN 46268-4887

Mailing address

6201 La Pas TRL
Suite 170
Indianapolis, IN 46268-4887
Phone (317) 396-1573

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336214816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 LA PAS TRL",
            "address_2": "SUITE 170",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684887",
            "telephone_number": "317-396-1573",
            "fax_number": "317-297-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 LA PAS TRL",
            "address_2": "SUITE 170",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684887",
            "telephone_number": "317-396-1573",
            "fax_number": "317-297-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME - HOSPICE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "MANAGING PARTNERS",
        "authorized_official_telephone_number": "317-396-1573"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "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 Aug 22, 2020; 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.