Jannyell Hines

Primary specialty

HomemakerTaxonomy code 376J00000X

License

24-016873 Issued in IN

Practice address

3002 Bonds Ave
South Bend, IN 46628-1931

Phone

(574) 381-0867

NPI assigned

Apr 8, 2024

Last updated

Oct 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heartserv Home Care Agency LLC

  • In Home Supportive Care Agency
  • South Bend, IN
  • NPI 1912750001
  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1376396739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 BONDS AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466281931",
            "telephone_number": "574-381-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 BONDS AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466281931",
            "telephone_number": "574-381-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "JANNYELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "IN",
            "license": "24-016873",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "IN",
            "license": "24-016873",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "IN",
            "license": "24-016873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Hilton
• Thomas Joseph Himschoot, MSW
• Kearn David Hinchman, DO
• Baochun Hind
• Sironaj Hindawi, MA IN COUNSELING
• Jennifer Hinkle
• Samantha Hinton
• Christopher J Hipsher, COTA/L
• Maggie Hisick
• HMT Healthcare LLC (Staff in Time)

• Homemaker in South Bend, IN
• Providers in South Bend, IN by specialty
• Homemaker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.