Organization Active NPI

Deeply Rooted Home Care LLC

  • PACE Provider Organization
  • Indianapolis, IN
National Provider Identifier
1962398313
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
DEEPLY ROOTED HOME CARE LLC
Practice address
5671 Prestonwood CT
Indianapolis, IN 46254-5022
Phone
(317) 603-9497
NPI assigned
Jun 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Ms. Erica M JacksonNPI 1235927096
Title
Owner
Phone
(317) 487-9185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

5671 Prestonwood CT
Indianapolis, IN 46254-5022

Mailing address

5671 Prestonwood CT
Indianapolis, IN 46254-5022
Phone (317) 487-9185

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1962398313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5671 PRESTONWOOD CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545022",
            "telephone_number": "317-487-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 PRESTONWOOD CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545022",
            "telephone_number": "317-603-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPLY ROOTED HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-487-9185",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 11, 2025; 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.