Organization Active NPI

The Master's Touch Home Services, LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1720735434
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
THE MASTER'S TOUCH HOME SERVICES, LLC
Practice address
2647 Waterfront Parkway East Dr Ste 265
Indianapolis, IN 46214-2019
Phone
(317) 672-7634
Fax
(317) 672-7635
NPI assigned
Mar 3, 2022
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Ms. Denise Colleen Cleveland-Moore, LCSW
Title
Owner
Phone
(317) 413-8000

Specialties & licenses 1

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

Addresses

Primary practice location

2647 Waterfront Parkway East Dr Ste 265
Indianapolis, IN 46214-2019

Mailing address

2647 Waterfront Parkway East Dr Ste 265
Indianapolis, IN 46214-2019
Phone (317) 672-7634

Other identifiers 1

IdentifierTypeStateIssuer
201053860AMedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1720735434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 WATERFRONT PARKWAY EAST DR STE 265",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142019",
            "telephone_number": "317-672-7634",
            "fax_number": "317-672-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 WATERFRONT PARKWAY EAST DR STE 265",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142019",
            "telephone_number": "317-672-7634",
            "fax_number": "317-672-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MASTER'S TOUCH HOME SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND-MOORE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-413-8000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201053860A",
            "state": "IN"
        }
    ],
    "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 Mar 3, 2022; 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.