Organization Active NPI

GG Residential Care, LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1740001064
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GG RESIDENTIAL CARE, LLC
Practice address
6368 Commons Dr
Indianapolis, IN 46254-2701
Phone
(463) 303-3587
NPI assigned
Oct 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Rachel M Bass
Title
Operations Manager
Phone
(317) 500-7739

Specialties & licenses 1

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

Addresses

Primary practice location

6368 Commons Dr
Indianapolis, IN 46254-2701

Mailing address

6368 Commons Dr
Indianapolis, IN 46254-2701
Phone (317) 500-7739

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1740001064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6368 COMMONS DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542701",
            "telephone_number": "317-500-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6368 COMMONS DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542701",
            "telephone_number": "463-303-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GG RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "317-500-7739"
    },
    "taxonomies": [
        {
            "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 Jan 14, 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.