Organization Active NPI

Accesicare, LLC

  • In Home Supportive Care Agency
  • Floyds Knobs, IN
National Provider Identifier
1356777254
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
13-012880-1 Issued in IN
Legal business name
ACCESICARE, LLC
Practice address
757 Highlander Point Dr
Floyds Knobs, IN 47119-9682
Phone
(812) 725-3708
NPI assigned
Sep 24, 2013
Last updated
Sep 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Mrs. Debra Jean Baker, RN
Title
Owner/Manager
Phone
(812) 725-3843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 13-012880-1 IN Primary

Addresses

Primary practice location

757 Highlander Point Dr
Floyds Knobs, IN 47119-9682

Mailing address

7780 Cooks Mill Rd
Georgetown, IN 47122-9524
Phone (812) 725-3708

Other identifiers 1

IdentifierTypeStateIssuer
201081780AMedicaidIN

National Provider Directory

National Provider Directory

Locations

757 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 725-3708

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1356777254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 COOKS MILL RD",
            "city": "GEORGETOWN",
            "state": "IN",
            "postal_code": "471229524",
            "telephone_number": "812-725-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 HIGHLANDER POINT DR",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199682",
            "telephone_number": "812-725-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESICARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "812-725-3843",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "13-012880-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201081780A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Floyds Knobs, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.