Innucare Shared Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

INNUCARE SHARED LIVING

Practice address

5435 Nighthawk Way
Indianapolis, IN 46254-4770

Phone

(317) 796-8682

Fax

(317) 536-3196

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Latonia Triplett, REGISTERED NURSENPI 1508607821

Title

Ceo

Phone

(317) 796-8682

Specialties & licenses 2

Addresses

Practitioners 1

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

• Latonia Deann Triplett, REGISTERED NURSE

  • Clinical Medical Laboratory
  • Indianapolis, IN
  • NPI 1508607821
  NPD Authorized official

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1336991207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 NIGHTHAWK WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544770",
            "telephone_number": "317-796-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 NIGHTHAWK WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544770",
            "telephone_number": "317-796-8682",
            "fax_number": "317-536-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNUCARE SHARED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "TRIPLETT",
        "authorized_official_first_name": "LATONIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-796-8682",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Adult Care Home Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.