NPIMap

Organization Active NPI

CNS Personal Service Agency LLC

  • In Home Supportive Care Agency
  • Hammond, IN
National Provider Identifier
1790065308
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
110126561 Issued in IN
Legal business name
CNS PERSONAL SERVICE AGENCY LLC
Practice address
5209 Hohman Ave
Hammond, IN 46320-1719
Phone
(219) 750-1200
Fax
(219) 720-1211
NPI assigned
Aug 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Mr. Jamanil Jones Sr.
Title
Owner
Phone
(219) 750-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 110126561 IN Primary

Addresses

Primary practice location

5209 Hohman Ave
Hammond, IN 46320-1719

Mailing address

6124 Noble Ave
Hammond, IN 46320-2641
Phone (219) 750-1200

Other identifiers 1

IdentifierTypeStateIssuer
11-012656-1OtherININDIANA STATE DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1790065308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 NOBLE AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202641",
            "telephone_number": "219-750-1200",
            "fax_number": "219-750-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201719",
            "telephone_number": "219-750-1200",
            "fax_number": "219-720-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNS PERSONAL SERVICE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JAMANIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-750-1200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "110126561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE DEPARTMENT OF HEALTH",
            "identifier": "11-012656-1",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.