Organization Active NPI

Infamous Home Care LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1417701525
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INFAMOUS HOME CARE LLC
Practice address
3907 Elmonte CT
Indianapolis, IN 46226-5536
Phone
(463) 266-0328
Fax
(317) 723-3141
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Shante Jones
Title
Owner
Phone
(463) 266-0328

Specialties & licenses 1

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

Addresses

Primary practice location

3907 Elmonte CT
Indianapolis, IN 46226-5536

Mailing address

3907 Elmonte CT
Indianapolis, IN 46226-5536
Phone (463) 266-0328

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1417701525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 ELMONTE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462265536",
            "telephone_number": "463-266-0328",
            "fax_number": "317-723-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 ELMONTE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462265536",
            "telephone_number": "463-266-0328",
            "fax_number": "317-723-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFAMOUS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "463-266-0328"
    },
    "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 Apr 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.