Maturing Jeneration Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MATURING JENERATION HOME CARE

Practice address

9538 Carlyle Dr Apt a
Indianapolis, IN 46240-3937

Phone

(317) 456-2865

NPI assigned

Sep 28, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Patterson Gholson

Title

Administrator

Phone

(765) 274-9928

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727481600000",
    "number": "1619795788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9538 CARLYLE DR APT A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403937",
            "telephone_number": "317-456-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9538 CARLYLE DR APT A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403937",
            "telephone_number": "317-456-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATURING JENERATION HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "GHOLSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "PATTERSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "765-274-9928"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herschel James Mattox
• Kiley Kristine Mattox, NP
• Samuel Riley Mattox
• David Mattson, MD
• Leah Matulewicz
• Jori Danae Matushek, NP
• Erin Christine Matusz, MD
• Theresa Matuszak
• Jennifer Mauch, PT
• Jill M Maude

• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, 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 28, 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.

Verify at the official NPI Registry.