NPIMap

Organization Active NPI

Caring Hands Personal Service Agency, LLC

  • In Home Supportive Care Agency
  • South Bend, IN
National Provider Identifier
1639431232
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
11-012403-1 Issued in IN
Legal business name
CARING HANDS PERSONAL SERVICE AGENCY, LLC
Practice address
2502 Emerson Forest Pkwy
South Bend, IN 46614-3945
Phone
(574) 288-5799
Fax
(574) 289-5358
NPI assigned
Jun 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Miss Michelle Denise Anderson, C.N.A.
Title
C.E.O.
Phone
(574) 288-5799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 11-012403-1 IN Primary

Addresses

Primary practice location

2502 Emerson Forest Pkwy
South Bend, IN 46614-3945

Mailing address

2502 Emerson Forest Pkwy
South Bend, IN 46614-3945
Phone (574) 288-5799

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1639431232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 EMERSON FOREST PKWY",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466143945",
            "telephone_number": "574-288-5799",
            "fax_number": "574-289-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 EMERSON FOREST PKWY",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466143945",
            "telephone_number": "574-288-5799",
            "fax_number": "574-289-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HANDS PERSONAL SERVICE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "574-288-5799",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "C.N.A."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "11-012403-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.