Lettland LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

013663 Issued in IN

Legal business name

LETTLAND LLC

Doing business as

Serenity Care Services

Practice address

10845 Charlemagne Dr
Indianapolis, IN 46259-1708

Phone

(317) 796-0881

Fax

(317) 543-7881

NPI assigned

May 4, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Gvido L Burgis

Title

Ceo

Phone

(317) 796-0881

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Serenity Care Services Doing business as

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1942687439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39057",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462390057",
            "telephone_number": "317-796-0881",
            "fax_number": "317-543-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10845 CHARLEMAGNE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462591708",
            "telephone_number": "317-796-0881",
            "fax_number": "317-543-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETTLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "BURGIS",
        "authorized_official_first_name": "GVIDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-796-0881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "013663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL SERVICE AGENCY",
            "identifier": "013663",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.