Individual provider Active NPI

Timeka Washington

  • Personal Care Attendant
  • Fort Wayne, IN
National Provider Identifier
1427781392
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
220157061 Issued in IN
Practice address
3525 Lake Ave Ste 2
Fort Wayne, IN 46805-5573
Phone
(260) 418-9366
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 220157061 IN Primary

Addresses

Primary practice location

3525 Lake Ave Ste 2
Fort Wayne, IN 46805-5573

Mailing address

3525 Lake Ave Ste 2
Fort Wayne, IN 46805-5573
Phone (260) 418-9366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
220157061INMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Nurtured Home Care LLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

3525 Lake Ave
Ste 2
Fort Wayne, IN 46805
Phone (260) 418-9366

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1427781392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 LAKE AVE STE 2",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055573",
            "telephone_number": "260-418-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 LAKE AVE STE 2",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055573",
            "telephone_number": "260-418-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "TIMEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "IN",
            "license": "220157061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.