Organization Active NPI

Queen of Hearts Home Care LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1336915842
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
QUEEN OF HEARTS HOME CARE LLC
Practice address
3059 Arrowroot LN
Indianapolis, IN 46239-7972
Phone
(317) 869-5847
NPI assigned
Nov 27, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Nijawa Brooks, RN
Title
Administrator
Phone
(317) 869-5847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3059 Arrowroot LN
Indianapolis, IN 46239-7972

Mailing address

3059 Arrowroot LN
Indianapolis, IN 46239-7972
Phone (317) 869-5847

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1336915842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 ARROWROOT LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462397972",
            "telephone_number": "317-869-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 ARROWROOT LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462397972",
            "telephone_number": "317-869-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN OF HEARTS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "NIJAWA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-869-5847",
        "authorized_official_credential": "RN"
    },
    "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 Nov 27, 2023; 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.