Organization Active NPI

Everlasting Home Care LLC

  • Attendant Care Provider
  • Indianapolis, IN
National Provider Identifier
1780478297
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
EVERLASTING HOME CARE LLC
Practice address
4615 E 10TH St Ste 2
Indianapolis, IN 46201-2823
Phone
(317) 765-8151
NPI assigned
Apr 8, 2025
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Derrick Peterson Jr.
Title
Ceo
Phone
(317) 765-8151

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU
Attendant Care Provider 3747A0650X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

4615 E 10TH St Ste 2
Indianapolis, IN 46201-2823

Mailing address

4615 E 10TH St Ste 2
Indianapolis, IN 46201-2823

National Provider Directory

National Provider Directory

Locations

4615 E 10th St
Ste 2
Indianapolis, IN 46201
Phone (317) 765-8151

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1780478297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 E 10TH ST STE 2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462012823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 E 10TH ST STE 2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462012823",
            "telephone_number": "317-765-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-765-8151",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 8, 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.