Individual provider Active NPI

Curtrina La'Shana Holloway

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1982319356
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
22-015925 Issued in IN
Practice address
2219 N Kenwood Ave
Indianapolis, IN 46208-5721
Phone
(317) 945-6542
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 22-015925 IN
In Home Supportive Care Agency 253Z00000X 22-015925 IN Primary

Addresses

Primary practice location

2219 N Kenwood Ave
Indianapolis, IN 46208-5721

Mailing address

2219 N Kenwood Ave
Indianapolis, IN 46208-5721
Phone (317) 945-6542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22-015925INMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
T&N Prestigious Care and Compassion Services, LLC In Home Supportive Care CurrentSince May 21, 2023 Accepting new patients
T&N Prestigious Care Home Health Agency Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1982319356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 N KENWOOD AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462085721",
            "telephone_number": "317-945-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 N KENWOOD AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462085721",
            "telephone_number": "317-945-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "CURTRINA",
        "middle_name": "LA'SHANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "IN",
            "license": "22-015925",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "22-015925",
            "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 Jan 19, 2023; 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.