Organization Active NPI

Heart Glow Services LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1710694724
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEART GLOW SERVICES LLC
Practice address
5661 Valhalla Way
Indianapolis, IN 46235-6027
Phone
(916) 613-6499
NPI assigned
Oct 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Ujunwa Uchendu, CAN, QMA, HIM
Title
Owner
Phone
(317) 797-2011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5661 Valhalla Way
Indianapolis, IN 46235-6027

Mailing address

5661 Valhalla Way
Indianapolis, IN 46235-6027
Phone (317) 797-2011

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1710694724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5661 VALHALLA WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462356027",
            "telephone_number": "317-797-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5661 VALHALLA WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462356027",
            "telephone_number": "916-613-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART GLOW SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "UCHENDU",
        "authorized_official_first_name": "UJUNWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-797-2011",
        "authorized_official_credential": "CAN, QMA, HIM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Dec 16, 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.