Supportive Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPPORTIVE HOME HEALTH LLC

Practice address

6767 E Washington St
Indianapolis, IN 46219-6736

Phone

(317) 400-4049

Fax

(800) 878-7151

NPI assigned

Dec 27, 2024

Last updated

Dec 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shana GrahamNPI 1093315095

Title

Owner/Vice President

Phone

(317) 531-1550

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shana P Graham, CERTIFIED NURSING AI

  • Adult Care Home Facility
  • Indianapolis, IN
  • NPI 1093315095
  Authorized official Same address or phone
• Allisha Harris

  • In Home Supportive Care Agency
  • Indianapolis, IN
  • NPI 1649024548
  NPD

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1497563100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462196736",
            "telephone_number": "317-400-4049",
            "fax_number": "800-878-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462196736",
            "telephone_number": "317-400-4049",
            "fax_number": "800-878-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "317-531-1550"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Elegance Care LLC
• Superior Home Care Serivces LLC
• Superior Van & Mobility
• Abigail Supple
• Supporting Hands LLC
• Supportive Homecare Services LLC
• Supportive Systems
• Supportive Systems, LLC
• Supreme Standard Family Services and Counseling Inc.
• Kyle Surace, PSY.D.

• Home Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.