NPIMap

Organization Active NPI

Fantella Way LLC

  • In Home Supportive Care Agency
  • Avon, IN
National Provider Identifier
1336944404
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FANTELLA WAY LLC
Practice address
1689 Limerick LN
Avon, IN 46123-5544
Phone
(317) 213-0665
NPI assigned
Feb 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Mabel Adewunmi JosephNPI 1841179124
Title
Ceo
Phone
(317) 213-0665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1689 Limerick LN
Avon, IN 46123-5544

Mailing address

1689 Limerick LN
Avon, IN 46123-5544
Phone (317) 213-0665

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1336944404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 LIMERICK LN",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461235544",
            "telephone_number": "317-213-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 LIMERICK LN",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461235544",
            "telephone_number": "317-213-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANTELLA WAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "MABEL",
        "authorized_official_middle_name": "ADEWUNMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-213-0665"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.