Active NPI
Sofia Home Care LLC
- In Home Supportive Care Agency
- Fort Wayne, IN
National Provider Identifier
1821763913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SOFIA HOME CARE LLC
- Practice address
- 2520 Lake Ave
Fort Wayne, IN 46805-5408 - Phone
- (260) 600-3757
- NPI assigned
- Aug 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bay SE
- Title
- Owner
- Phone
- (260) 600-3757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2520 Lake Ave
Fort Wayne, IN 46805-5408
Mailing address
2520 Lake Ave
Fort Wayne, IN 46805-5408
Phone (260) 600-3757
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2278979 | Sofia Home Health Care LLC | Certificate of waiver | Mar 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
2520 Lake Ave
Fort Wayne, IN 46805
Phone (260) 435-7956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754870400000",
"number": "1821763913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 LAKE AVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055408",
"telephone_number": "260-600-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 LAKE AVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055408",
"telephone_number": "260-600-3757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOFIA HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-11",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A",
"authorized_official_last_name": "SE",
"authorized_official_first_name": "BAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "260-600-3757"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.