Group Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GROUP HOME CARE SERVICES LLC

Practice address

9640 N Augusta Dr
Suite 431
Carmel, IN 46032-9600

Phone

(317) 228-9422

Fax

(317) 708-4888

NPI assigned

Apr 23, 2010

Last updated

Apr 24, 2010By 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

Pooja Kottam

Title

President

Phone

(317) 228-9422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272067200000",
    "number": "1922325455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11360 FALLING WATER WAY STE 102",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 N AUGUSTA DR",
            "address_2": "SUITE 431",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329600",
            "telephone_number": "317-228-9422",
            "fax_number": "317-708-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-24",
        "status": "A",
        "authorized_official_last_name": "KOTTAM",
        "authorized_official_first_name": "POOJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-228-9422"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2010; 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.