Maxxcare Home

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MAXXCARE HOME

Practice address

4463 N Kenmore Rd
Indianapolis, IN 46226-3582

Phone

(317) 531-7556

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Sharon Hickerson

Title

Director

Phone

(317) 531-7556

Specialties & licenses 1

Addresses

Other names 1

• MAXXCARE HOME Former legal business name

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1679113955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26421",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462260421",
            "telephone_number": "317-531-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4463 N KENMORE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462263582",
            "telephone_number": "317-531-7556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6013 E 40th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462264905",
            "country_code": "US",
            "telephone_number": "317-531-7556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAXXCARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "HICKERSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-531-7556"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAXXCARE HOME",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jon Maxwell, PHARMD
• Kyle A Maxwell
• Melissa Kaye Maxwell, P.T.
• Shelby Maxwell, BCBA
• Stephen Maxwell, BCBA
• Ashley May, BCBA, LBA
• Benjamin Donald May, M.D.
• Carly May
• Fredrick Allen May, MD
• Justine Mae May, LCSW

• 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 Mar 10, 2021; 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.