At Home- Home Care Services, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AT HOME- HOME CARE SERVICES, LLC.

Practice address

6201 La Pas TRL
Suite 170
Indianapolis, IN 46268-4887

Phone

(317) 396-1573

Fax

(317) 297-7895

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Rick Johnson

Title

Managing Partner

Phone

(317) 396-1573

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1750467379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 LA PAS TRL",
            "address_2": "SUITE 170",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684887",
            "telephone_number": "317-396-1573",
            "fax_number": "317-297-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 LA PAS TRL",
            "address_2": "SUITE 170",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684887",
            "telephone_number": "317-396-1573",
            "fax_number": "317-297-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME- HOME CARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "317-396-1573"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200853860A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Indianapolis, IN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.