Organization Active NPI

King'S Grace Homecare LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1366042541
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KING'S GRACE HOMECARE LLC
Doing business as
Synergy Homecare
Practice address
4755 Kingsway Dr Ste 125
Indianapolis, IN 46205-1551
Phone
(317) 762-0411
NPI assigned
Oct 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Terri J KingNPI 1427894708
Title
Ceo
Phone
(317) 762-0041

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

4755 Kingsway Dr Ste 125
Indianapolis, IN 46205-1551

Mailing address

450 E 96TH St Ste 500
Indianapolis, IN 46240-3760
Phone (317) 762-0411

Other names 1

  • Synergy Homecare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR Direct

National Provider Directory

National Provider Directory

Locations

4755 Kingsway Dr
Ste 125
Indianapolis, IN 46205
Phone (317) 762-0411

Practitioners & affiliated clinicians

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": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1366042541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 96TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403760",
            "telephone_number": "317-762-0411",
            "fax_number": "317-493-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 KINGSWAY DR STE 125",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051551",
            "telephone_number": "317-762-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING'S GRACE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-762-0041"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Input",
            "address_1": "450 E 96th St Ste 500",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462403760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Synergy Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synergy Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 9, 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.