Organization Active NPI

Mind Over Matter M O M Cleaning Services LLC

  • In Home Supportive Care Agency
  • Fort Wayne, IN
National Provider Identifier
1730931544
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MIND OVER MATTER M O M CLEANING SERVICES LLC
Practice address
7601 Melody Cir W
Fort Wayne, IN 46816-4875
Phone
(608) 290-0907
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
India Doshinque Richardson
Title
Owner/Ceo
Phone
(608) 290-0907

Specialties & licenses 1

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

Addresses

Primary practice location

7601 Melody Cir W
Fort Wayne, IN 46816-4875

Mailing address

7601 Melody Cir W
Fort Wayne, IN 46816-4875
Phone (608) 290-0907

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1730931544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 MELODY CIR W",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468164875",
            "telephone_number": "608-290-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 MELODY CIR W",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468164875",
            "telephone_number": "608-290-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND OVER MATTER M O M CLEANING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "INDIA",
        "authorized_official_middle_name": "DOSHINQUE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "608-290-0907"
    },
    "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 Apr 4, 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.