NPIMap

Organization Active NPI

C & C in Home Assistance

Doing business as ComForcare Senior Services

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1588976138
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
10-012136-1 Issued in IN
Legal business name
C & C IN HOME ASSISTANCE
Doing business as
ComForcare Senior Services
Practice address
610 N High School Rd
Suite B
Indianapolis, IN 46214-3671
Phone
(317) 270-9540
Fax
(317) 270-9541
NPI assigned
Jul 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Mr. Charles Derek Smiley, CSA
Title
Owner/President
Phone
(317) 270-9540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 10-012136-1 IN Primary

Addresses

Primary practice location

610 N High School Rd
Suite B
Indianapolis, IN 46214-3671

Mailing address

610 N High School Rd
Suite B
Indianapolis, IN 46214-3671
Phone (317) 270-9540

Other names 1

  • ComForcare Senior Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1588976138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N HIGH SCHOOL RD",
            "address_2": "SUITE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143671",
            "telephone_number": "317-270-9540",
            "fax_number": "317-270-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N HIGH SCHOOL RD",
            "address_2": "SUITE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143671",
            "telephone_number": "317-270-9540",
            "fax_number": "317-270-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C IN HOME ASSISTANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "317-270-9540",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "10-012136-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2010; 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.