Active NPI
Kimberly June Oliver
- In Home Supportive Care Agency
- Indianapolis, IN
National Provider Identifier
1548010366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 3901 W 86TH St Ste 360
Indianapolis, IN 46268-1799 - Phone
- (317) 798-0238
- NPI assigned
- Mar 25, 2024
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3901 W 86TH St Ste 360
Indianapolis, IN 46268-1799
Mailing address
3901 W 86TH St Ste 360
Indianapolis, IN 46268-1799
Phone (317) 798-0238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300074321 | Medicaid | IN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe at Home Personal Care Services LLC | In Home Supportive Care | Current | Accepting new patients |
Locations
3901 W 86th St
Ste 360
Indianapolis, IN 46268
Phone (219) 298-0162
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.
-
- In Home Supportive Care Agency
- Indianapolis, IN
- NPI 1275370553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1548010366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 W 86TH ST STE 360",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462681799",
"telephone_number": "317-798-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 W 86TH ST STE 360",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462681799",
"telephone_number": "317-798-0238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "KIMBERLY",
"middle_name": "JUNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300074321",
"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 Jul 15, 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.