Active NPI
Priority Homecare LLC
- PACE Provider Organization
- Indianapolis, IN
National Provider Identifier
1992532089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- PRIORITY HOMECARE LLC
- Practice address
- 513 Parkgate Ave
Indianapolis, IN 46239-6886 - Phone
- (463) 256-5643
- NPI assigned
- Sep 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tamika Goynes
- Title
- Owner
- Phone
- (463) 256-5643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Primary |
Addresses
Primary practice location
513 Parkgate Ave
Indianapolis, IN 46239-6886
Mailing address
513 Parkgate Ave
Indianapolis, IN 46239-6886
Phone (463) 256-5643
Other names 1
- Priority Homecare LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726185600000",
"number": "1992532089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 PARKGATE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462396886",
"telephone_number": "463-256-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 PARKGATE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462396886",
"telephone_number": "463-256-5643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIORITY HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-13",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A",
"authorized_official_last_name": "GOYNES",
"authorized_official_first_name": "TAMIKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "463-256-5643",
"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": [
{
"organization_name": "Priority Homecare LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 13, 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.