Organization Active NPI

Citadel Home Care Indy LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1386407906
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CITADEL HOME CARE INDY LLC
Practice address
7523 Cole Wood Blvd
Indianapolis, IN 46239-7770
Phone
(317) 488-0495
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Mrs. Anthony & Tywana Easley
Title
Owner
Phone
(317) 488-0495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7523 Cole Wood Blvd
Indianapolis, IN 46239-7770

Mailing address

8520 Allison Pointe Blvd Ste 223
Indianapolis, IN 46250-4299
Phone (317) 488-0495

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1386407906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 ALLISON POINTE BLVD STE 223",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504299",
            "telephone_number": "317-488-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7523 COLE WOOD BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462397770",
            "telephone_number": "317-488-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL HOME CARE INDY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "ANTHONY & TYWANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-488-0495",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 15, 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.