K&M Divine Touch Home Care Services

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

K&M DIVINE TOUCH HOME CARE SERVICES

Practice address

6002 W 62ND St Ste 2
Indianapolis, IN 46278-2909

Phone

(317) 427-3763

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Tanikia Dawnsha ForrestNPI 1134998123

Title

Cfo

Phone

(317) 427-3763

Specialties & licenses 9

Addresses

Other names 2

• K&M Divine Touch Home Care Services Doing business as
• Minnie Ways to Clean Services Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanikia Forrest

  • Personal Care Attendant
  • Indianapolis, IN
  • NPI 1134998123
  NPD Authorized official

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1902625080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5137 RED YARROW WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545303",
            "telephone_number": "317-427-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 W 62ND ST STE 2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462782909",
            "telephone_number": "317-427-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&M DIVINE TOUCH HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "TANIKIA",
        "authorized_official_middle_name": "DAWNSHA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-427-3763"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K&M Divine Touch Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Minnie Ways to Clean Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Attendant Care Provider in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Attendant Care Provider in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.