Sanctuary Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SANCTUARY HOME CARE AGENCY LLC

Practice address

1048B Sagamore Pkwy W # 1011
West Lafayette, IN 47906-1446

Phone

(765) 247-0837

Fax

(765) 478-7005

NPI assigned

Sep 5, 2020

Organization subpart

No

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

Authorized official

Name

Taja CalvinNPI 1083231823

Title

Ceo

Phone

(765) 247-0837

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taja Calvin

  • In Home Supportive Care Agency
  • West Lafayette, IN
  • NPI 1083231823
  NPD Authorized official

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

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599350400000",
    "number": "1619581741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048B SAGAMORE PKWY W # 1011",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061446",
            "telephone_number": "765-247-0837",
            "fax_number": "765-478-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048B SAGAMORE PKWY W # 1011",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061446",
            "telephone_number": "765-247-0837",
            "fax_number": "765-478-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-05",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A",
        "authorized_official_last_name": "CALVIN",
        "authorized_official_first_name": "TAJA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-247-0837"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE AGENCY",
            "identifier": "1083231823",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taja@sanctuaryhomecareagency.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1048B Sagamore Pkwy W # 1011",
            "city": "West Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479061446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Salem, SLP
• Ryan Joseph Salerno
• Yves Phillipe Sallade, BCBA
• Sally a Timmons LLC
• Maritza Salmeron
• Sanctuary Personal Service Agency
• Jacob Sanders
• Sarah Elizabeth Sautter, DDS
• Alexandria Roswita Sawyer, LAT, ATC
• Sarah A Sayger, MD

• In Home Supportive Care Agency in West Lafayette, IN
• Providers in West Lafayette, 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 Sep 6, 2020; 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.