Individual provider Active NPI

Tinesha L Nelson

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1447121991
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
25-018716-1 Issued in IN
Practice address
1111 E 54TH St Ste 153
Indianapolis, IN 46220-3582
Phone
(317) 316-5567
Fax
(317) 756-9084
NPI assigned
Sep 17, 2025
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 25-018716-1 IN Primary

Addresses

Primary practice location

1111 E 54TH St Ste 153
Indianapolis, IN 46220-3582

Mailing address

1111 E 54TH St Ste 153
Indianapolis, IN 46220-3582
Phone (317) 316-5567

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
25-018716-1INMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Aging & Active Personal Services LLC In Home Supportive Care Current Accepting new patients
Careful Givers LLC In Home Supportive Care CurrentSince Sep 21, 2025 Accepting new patients
Aging & Active Home Health LLC Current Accepting new patients

Locations

1111 E 54th St
Ste 153
Indianapolis, IN 46220
Phone (317) 316-5567

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1447121991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E 54TH ST STE 153",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203582",
            "telephone_number": "317-316-5567",
            "fax_number": "317-756-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E 54TH ST STE 153",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203582",
            "telephone_number": "317-316-5567",
            "fax_number": "317-756-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TINESHA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "25-018716-1",
            "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 Sep 17, 2025; 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.