Active NPI
King'S Grace Homecare LLC
- In Home Supportive Care Agency
- Indianapolis, IN
National Provider Identifier
1366042541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terri J King
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EMR | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- In Home Supportive Care Agency
- Indianapolis, IN
- NPI 1427894708
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.