Mama Annie'S Home Care LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

MAMA ANNIE'S HOME CARE LLC

Practice address

9165 Otis Ave Ste 110
Indianapolis, IN 46216-2307

Phone

(317) 657-9116

Fax

(317) 333-8027

NPI assigned

Nov 15, 2022

Organization subpart

No

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

Authorized official

Name

Talisha T WilsonNPI 1003435322

Title

Owner

Phone

(317) 657-9116

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• MAMA ANNIE'S HOME CARE LLC Doing business as
• Mama Annies Home Care LLC Doing business as

Practitioners 1

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

• Talisha T Wilson

  • Personal Care Attendant
  • Indianapolis, IN
  • NPI 1003435322
  NPD Authorized official

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1922717396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162307",
            "telephone_number": "317-657-9116",
            "fax_number": "317-333-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162307",
            "telephone_number": "317-657-9116",
            "fax_number": "317-333-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA ANNIE'S HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TALISHA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-657-9116"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300039776",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAMA ANNIE'S HOME CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mama Annies Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Malooley Jr., D.D.S.
• John R Malooley, MD
• Jaime Marie Maloy, RBT
• Kelsey Martin Maloy, M.D.
• Laura Yvonne Maloy, R.N.
• Mama Annie'S Home Health Care LLC
• Robert James Mamangun
• Audrey J Maminta, MD
• Napoleon A Maminta, DO
• Burke W Mamlin, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.