Suzy Q Service Cororation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

130130671 Issued in IN

Legal business name

SUZY Q SERVICE CORORATION

Practice address

2401 N Tibbs Ave
Indianapolis, IN 46222

Phone

(317) 955-7567

Fax

(317) 955-7567

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Suzett MoffittNPI 1295147718

Title

President

Phone

(317) 755-7664

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Suzy Q Cleaning Service LLC & Personal Service Agency Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzett Moffitt

  • In Home Supportive Care Agency
  • Indianapolis, IN
  • NPI 1295147718
  NPD Authorized official

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1780025163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 N TIBBS AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222457",
            "telephone_number": "317-955-7567",
            "fax_number": "317-955-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 N TIBBS AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46222",
            "telephone_number": "317-955-7567",
            "fax_number": "317-955-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZY Q SERVICE CORORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "SUZETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-755-7664",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "130130671",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": "IN",
            "license": "18-013067-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE DEPARTMENT OF HEALTH/PERSONAL SERVICE AGENCY",
            "identifier": "18-013067-1",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201172830A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suzy Q Cleaning Service LLC & Personal Service Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy A Sutton, M.D.
• Attaya Suvannasankha, M.D.
• Suvero Transportation LLC
• Michiko Suzuki, M.D., PH.D.
• Yukako Suzuki, MD
• Kyle Leslie Svara
• William Svara
• Tatum Svarczkopf, NP
• Jerry R Svendsen, PT
• Courtney Sullivan Svenstrup, MD

• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.