Powell's Precious Lotus LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

POWELL'S PRECIOUS LOTUS LLC

Practice address

5316 Reo Ave
South Bend, IN 46619-1341

Phone

(574) 440-1731

NPI assigned

Nov 22, 2023

Organization subpart

No

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

Authorized official

Name

Kim Powell

Title

Owner/President

Phone

(574) 387-9160

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1376318931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 REO AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466191341",
            "telephone_number": "574-387-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 REO AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466191341",
            "telephone_number": "574-440-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL'S PRECIOUS LOTUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "574-387-9160"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Pouliot, PHD
• Catherine Robinson Pounds, MD
• Brian Powell
• John F Powell, M.D.
• Katherine S Powell, MS
• Pra Medical Inc
• Joseph Prahlow, M.D.
• Candice Pranger
• Yupadi Prasertwanitch, MD
• Claudia Pratt, MSW

• In Home Supportive Care Agency in South Bend, IN
• Providers in South Bend, IN by specialty
• In Home Supportive Care Agency in Indiana

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