Individual provider Active NPI

Danyell Marie Johnson, PERSONAL CARE SERV.

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1871385369
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
25-018776-1 Issued in IN
Practice address
556 Lynn St
Indianapolis, IN 46222-3812
Phone
(317) 945-0683
Fax
(219) 264-2074
NPI assigned
May 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 25-018776-1 IN Primary

Addresses

Primary practice location

556 Lynn St
Indianapolis, IN 46222-3812

Mailing address

556 Lynn St
Indianapolis, IN 46222-3812
Phone (317) 945-0683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25-018776-1INMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1871385369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 LYNN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462223812",
            "telephone_number": "317-945-0683",
            "fax_number": "219-264-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 LYNN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462223812",
            "telephone_number": "317-945-0683",
            "fax_number": "219-264-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANYELL",
        "middle_name": "MARIE",
        "credential": "PERSONAL CARE SERV.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "25-018776-1",
            "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 20, 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.