Lifes Journey Palliative Care

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

LIFES JOURNEY PALLIATIVE CARE

Practice address

10241 E County Road 100 N
Indianapolis, IN 46234-9016

Phone

(812) 239-3771

Fax

(317) 561-6827

NPI assigned

Oct 13, 2021

Organization subpart

No

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

Authorized official

Name

Robert D Wallace

Title

Member

Phone

(812) 239-3771

Specialties & licenses 2

Addresses

Other names 1

• Lifes Journey of Avon LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen M Whitman, ANP-C

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
  • NPI 1972580488
  Medicare reassignment NPD
• Laury M Wallace, NP

  • Adult Medicine Physician
  • Westfield, IN
  • NPI 1205343845
  Medicare reassignment
• Chrissy Jo Baker, APRN

  • Family Nurse Practitioner
  • North Fort Myers, FL
  • NPI 1760011605

  IN

  Medicare reassignment

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1497417828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10241 E COUNTY ROAD 100 N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462349016",
            "telephone_number": "812-239-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10241 E COUNTY ROAD 100 N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462349016",
            "telephone_number": "812-239-3771",
            "fax_number": "317-561-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFES JOURNEY PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "812-239-3771"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rwallace@lifesjourneyhospice.com",
            "affiliation": "Y",
            "endpointDescription": "PHI",
            "affiliationName": "Life's Journey of Avon,LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "rwallace@lifesjourneyhospice.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rwallace@lifesjourneyhospice.com",
            "address_1": "10241 E County Road 100 N",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462349016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lifes Journey of Avon LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lifes Journey of Avon LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Life Skills Unlimited LLC
• Life Solutions South of Indiana
• Life'S Journey of Avon, LLC
• Life'S Touch Home Health Inc.
• Life'S Touch Home Health, Inc.
• Lifespan Companion Care LLC
• Lifespan Neuropsycology, PC
• Lifespan Pharmacy LLC
• Lifestory Collaborative Counseling LLC
• Lifestyle Scooters, Inc.

• Hospice and Palliative Medicine (Family Medicine) Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.