Organization Active NPI

Angels of Lisa Home Care

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1851147607
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANGELS OF LISA HOME CARE
Practice address
3453 Boulevard PL
Indianapolis, IN 46208-4430
Phone
(937) 305-1773
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Cierra Denise Grisby
Title
Ceo
Phone
(937) 305-1773

Specialties & licenses 1

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

Addresses

Primary practice location

3453 Boulevard PL
Indianapolis, IN 46208-4430

Mailing address

3453 Boulevard PL
Indianapolis, IN 46208-4430
Phone (937) 305-1773

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1851147607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 BOULEVARD PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084430",
            "telephone_number": "937-305-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 BOULEVARD PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084430",
            "telephone_number": "937-305-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF LISA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "GRISBY",
        "authorized_official_first_name": "CIERRA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-305-1773"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 10, 2024; 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.