Assist Psa LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ASSIST PSA LLC

Practice address

4907 Ivy St
East Chicago, IN 46312-3744

Phone

(219) 231-1182

NPI assigned

Mar 15, 2025

Last updated

Mar 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shannon Forrest Hogan

Title

Manager

Phone

(773) 366-0258

Specialties & licenses 1

Addresses

Other names 1

• Assist PSA Other name

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1861292153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 IVY ST",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123744",
            "telephone_number": "219-231-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 IVY ST",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123744",
            "telephone_number": "219-231-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSIST PSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "FORREST",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-366-0258",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assist PSA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in East Chicago, IN
• Providers in East Chicago, 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 Mar 15, 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.