Organization Active NPI

Push Home Care Services LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1720859929
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PUSH HOME CARE SERVICES LLC
Practice address
3917 Denwood Dr
Indianapolis, IN 46226-4428
Phone
(765) 409-8168
NPI assigned
Jan 16, 2024
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Shannon Moody
Title
Owner
Phone
(765) 409-8168

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU
Non-emergency Medical Transport (VAN) 343900000X NU
Home Health Aide 374U00000X NU
Homemaker 376J00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3917 Denwood Dr
Indianapolis, IN 46226-4428

Mailing address

3917 Denwood Dr
Indianapolis, IN 46226-4428
Phone (765) 409-8168

Other names 1

  • PUSH HOME CARE LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1720859929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 DENWOOD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462264428",
            "telephone_number": "765-409-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 DENWOOD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462264428",
            "telephone_number": "765-409-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUSH HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-409-8168"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUSH HOME CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "PUSH HOME CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "PUSH HOME CARE LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 22, 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.