Shavouya Terry

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

4444 Broadway Ste A5
Gary, IN 46408-3364

Phone

(708) 575-9274

NPI assigned

Mar 5, 2025

Last updated

May 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Living HC LLC

  • In Home Supportive Care Agency
  • Gary, IN
  • NPI 1558298281
  NPD Authorized official

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1568260552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 BROADWAY STE A5",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464083364",
            "telephone_number": "708-575-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 BROADWAY STE A5",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464083364",
            "telephone_number": "708-575-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "SHAVOUYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reid Silas Syverson, MSHM
• T&T Transportation Service LLC
• Sheila Dee Taylor-Harris
• Antoinette Taylor, CPT
• Teofilo S. Bautista, M.D., P.C
• The Arc Northwest Indiana
• The Dialysis Center of Gary LLC (Gary Dialysis Center)
• The Mary Lane Center, LLC
• The Methodist Hospital
• The Methodist Hospital Medical Nutrition Center

• In Home Supportive Care Agency in Gary, IN
• Providers in Gary, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.