Organization Active NPI

Precious Moments Community Care, LLC

  • In Home Supportive Care Agency
  • Fort Wayne, IN
National Provider Identifier
1720924871
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRECIOUS MOMENTS COMMUNITY CARE, LLC
Practice address
3103 Oxford St
Fort Wayne, IN 46806-4383
Phone
(419) 230-5115
NPI assigned
Apr 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Lashonda Ackles, RN
Title
Owner
Phone
(419) 230-5115

Specialties & licenses 1

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

Addresses

Primary practice location

3103 Oxford St
Fort Wayne, IN 46806-4383

Mailing address

3103 Oxford St
Fort Wayne, IN 46806-4383
Phone (419) 230-5115

National Provider Directory

National Provider Directory

Locations

3103 Oxford St
Fort Wayne, IN 46806
Phone (419) 230-5115

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1720924871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 OXFORD ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468064383",
            "telephone_number": "419-230-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 OXFORD ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468064383",
            "telephone_number": "419-230-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS MOMENTS COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "ACKLES",
        "authorized_official_first_name": "LASHONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-230-5115",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.