Organization Active NPI

Nooks Kreations

  • In Home Supportive Care Agency
  • South Bend, IN
National Provider Identifier
1639921059
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NOOKS KREATIONS
Practice address
1217 Sorin St
South Bend, IN 46617-2127
Phone
(574) 213-2450
NPI assigned
Apr 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Ebony Smith, CCMA
Title
Ceo
Phone
(574) 213-2450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1217 Sorin St
South Bend, IN 46617-2127

Mailing address

1217 Sorin St
South Bend, IN 46617-2127
Phone (574) 213-2450

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1639921059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 SORIN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172127",
            "telephone_number": "574-213-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 SORIN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172127",
            "telephone_number": "574-213-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOOKS KREATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-213-2450",
        "authorized_official_credential": "CCMA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Apr 2, 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.