Organization Active NPI

Family Ties Home Care LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1659262160
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAMILY TIES HOME CARE LLC
Practice address
9165 Otis Ave Ste 256
Indianapolis, IN 46216-2319
Phone
(317) 748-3681
NPI assigned
Jul 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Authorized official

Name
Keanah Wallace
Title
Director
Phone
(317) 748-3681

Specialties & licenses 1

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

Addresses

Primary practice location

9165 Otis Ave Ste 256
Indianapolis, IN 46216-2319

Mailing address

9165 Otis Ave Ste 256
Indianapolis, IN 46216-2319
Phone (317) 748-3681

National Provider Directory

National Provider Directory

Locations

9165 Otis Ave
Ste 256
Indianapolis, IN 46216
Phone (317) 748-3681

NPI Registry JSON

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752278400000",
    "number": "1659262160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 256",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162319",
            "telephone_number": "317-748-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 256",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162319",
            "telephone_number": "317-748-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TIES HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "KEANAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-748-3681"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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, 2025; 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.