Organization Active NPI

Principle Health Solutions, LLC

  • Case Manager/Care Coordinator
  • Indianapolis, IN
National Provider Identifier
1538439211
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
28180237A Issued in IN
Legal business name
PRINCIPLE HEALTH SOLUTIONS, LLC
Practice address
8520 Allison Pointe Blvd
Suite 220
Indianapolis, IN 46250-5700
Phone
(317) 600-8728
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Mr. Kelvin Z Matemachani
Title
Director of Finance
Phone
(317) 600-8728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X 28180237A IN Primary

Addresses

Primary practice location

8520 Allison Pointe Blvd
Suite 220
Indianapolis, IN 46250-5700

Mailing address

8520 Allison Pointe Blvd
Suite 220
Indianapolis, IN 46250-5700

Other identifiers 1

IdentifierTypeStateIssuer
28180237AMedicaidIN

National Provider Directory

National Provider Directory

Locations

8520 Allison Pointe Blvd
Ste 220
Indianapolis, IN 46250
Phone (317) 437-2095

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1538439211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 ALLISON POINTE BLVD",
            "address_2": "SUITE 220",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 ALLISON POINTE BLVD",
            "address_2": "SUITE 220",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505700",
            "telephone_number": "317-600-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLE HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "MATEMACHANI",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "317-600-8728",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "IN",
            "license": "28180237A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28180237A",
            "state": "IN"
        }
    ],
    "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 Jan 11, 2012; 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.