Organization Active NPI

Freedom Senior Services of Indiana, Inc.

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1386948354
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
100124561 Issued in IN
Legal business name
FREEDOM SENIOR SERVICES OF INDIANA, INC.
Practice address
1398 N Shadeland Ave Ste 2231
Indianapolis, IN 46219-3619
Phone
(317) 359-3733
Fax
(317) 357-2273
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Mr. Walter E Justus
Title
President
Phone
(317) 359-3733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 100124561 IN Primary

Addresses

Primary practice location

1398 N Shadeland Ave Ste 2231
Indianapolis, IN 46219-3619

Mailing address

1398 N Shadeland Ave Ste 2231
Indianapolis, IN 46219-3619
Phone (317) 359-3733

National Provider Directory

National Provider Directory

Locations

1398 N Shadeland Ave
Ste 2231
Indianapolis, IN 46219
Phone (317) 359-3733

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1386948354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 N SHADELAND AVE STE 2231",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193619",
            "telephone_number": "317-359-3733",
            "fax_number": "317-357-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 N SHADELAND AVE STE 2231",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193619",
            "telephone_number": "317-359-3733",
            "fax_number": "317-357-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM SENIOR SERVICES OF INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "JUSTUS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-359-3733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "100124561",
            "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 Jan 5, 2011; 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.