Active NPI
Poline Mercy Njeri Githiiru, ATTC
- Home Health Aide
- Greenwood, IN
National Provider Identifier
1538869102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 22-014722-1
- Practice address
- 2248 Maple Stone LN
Greenwood, IN 46143-3835 - Phone
- (317) 363-9966
- NPI assigned
- Mar 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 22-014722-1 | IN | Primary |
Addresses
Primary practice location
2248 Maple Stone LN
Greenwood, IN 46143-3835
Mailing address
2248 Maple Stone LN
Greenwood, IN 46143-3835
Phone (317) 363-9966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300038014 | Medicaid | IN |
Other names 1
- Poline Mercy Njeri Githiiru
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22-014722-1 | IN | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Life Home Health LLP | Current | Accepting new patients |
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.
-
- Home Health Agency
- Indianapolis, IN
- NPI 1467268961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1538869102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2248 MAPLE STONE LN",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461433835",
"telephone_number": "317-363-9966",
"fax_number": "317-534-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2248 MAPLE STONE LN",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461433835",
"telephone_number": "317-363-9966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITHIIRU",
"first_name": "POLINE",
"middle_name": "MERCY NJERI",
"name_prefix": "Mrs.",
"credential": "ATTC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-03",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "IN",
"license": "22-014722-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300038014",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "POLINE",
"last_name": "GITHIIRU",
"middle_name": "MERCY NJERI",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.