Active NPI
Big Homies of America LLC
- Public Health or Welfare Agency
- Indianapolis, IN
National Provider Identifier
1922769587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- BIG HOMIES OF AMERICA LLC
- Practice address
- 1234 W 26TH St
Indianapolis, IN 46208-5307 - Phone
- (317) 400-7504
- NPI assigned
- Jan 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shane Shepherd
- Title
- President
- Phone
- (317) 400-7504
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Local Education Agency (LEA) | 251300000X | |||
| Case Management Agency | 251B00000X | |||
| Public Health or Welfare Agency | 251K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X |
Addresses
Primary practice location
1234 W 26TH St
Indianapolis, IN 46208-5307
Mailing address
1234 W 26TH St
Indianapolis, IN 46208-5307
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | meisha@mywidelens.com | Direct |
National Provider Directory
National Provider DirectoryLocations
1234 W 26th St
Indianapolis, IN 46208
Phone (317) 400-7504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641427200000",
"number": "1922769587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 W 26TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462085307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 W 26TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462085307",
"telephone_number": "317-400-7504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG HOMIES OF AMERICA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A",
"authorized_official_last_name": "SHEPHERD",
"authorized_official_first_name": "SHANE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-400-7504",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "meisha@mywidelens.com",
"affiliation": "N",
"endpointDescription": "Admin email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1234 W 26th St",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462085307",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 6, 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.