Organization Active NPI

Passionate Pals Personal Care Agency LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1992529630
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PASSIONATE PALS PERSONAL CARE AGENCY LLC
Practice address
4858 Covered Bridge Rd Apt D
Indianapolis, IN 46268-3429
Phone
(317) 720-8571
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Zimmyra DeanNPI 1831664960
Title
Ceo
Phone
(317) 720-8571

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4858 Covered Bridge Rd Apt D
Indianapolis, IN 46268-3429

Mailing address

4858 Covered Bridge Rd Apt D
Indianapolis, IN 46268-3429
Phone (317) 720-8571

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": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1992529630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4858 COVERED BRIDGE RD APT D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683429",
            "telephone_number": "317-720-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4858 COVERED BRIDGE RD APT D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683429",
            "telephone_number": "317-720-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSIONATE PALS PERSONAL CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "ZIMMYRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-720-8571"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Nov 11, 2024; 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.