NPIMap

Organization Active NPI

Homemakers Personal Care Services, LLC

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1962809533
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
140133161 Issued in IN
Legal business name
HOMEMAKERS PERSONAL CARE SERVICES, LLC
Practice address
6615 W 79TH St
Indianapolis, IN 46278-2043
Phone
(317) 730-3759
Fax
(317) 220-8283
NPI assigned
Nov 26, 2014
Last updated
Dec 28, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
HOMEMAKERS PERSONAL CARE SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Mrs. Joyce Ann RandolphNPI 1669067666
Title
President and Ceo
Phone
(317) 730-3759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 140133161 IN Primary

Addresses

Primary practice location

6615 W 79TH St
Indianapolis, IN 46278-2043

Mailing address

6615 W 79TH St
Indianapolis, IN 46278-2043
Phone (317) 730-3759

Other identifiers 1

IdentifierTypeStateIssuer
200514040MedicaidIN

Other names 1

  • HOMEMAKERS PERSONAL CARE SERVICES LLC Former legal business name

National Provider Directory

National Provider Directory
Part of
Homemakers Personal Care Services LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1962809533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 W 79TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462782043",
            "telephone_number": "317-730-3759",
            "fax_number": "317-220-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 W 79TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462782043",
            "telephone_number": "317-730-3759",
            "fax_number": "317-220-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEMAKERS PERSONAL CARE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMEMAKERS PERSONAL CARE SERVICES LLC",
        "enumeration_date": "2014-11-26",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "317-730-3759",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "140133161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200514040",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMEMAKERS PERSONAL CARE SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 28, 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.