Wagner Senior Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WAGNER SENIOR CARE, LLC

Practice address

2611 Waterfront Parkway East Dr Ste 305
Indianapolis, IN 46214-2028

Phone

(317) 248-9299

Fax

(317) 248-9294

NPI assigned

Apr 29, 2024

Organization subpart

No

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

Authorized official

Name

Elizabeth WagnerNPI 1568822559

Title

Franchise Owner

Phone

(317) 248-9299

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Doing business as

Locations

Practitioners 1

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

• Elizabeth Wagner

  • Community Health Worker
  • Indianapolis, IN
  • NPI 1568822559
  NPD Authorized official

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1992551063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 WATERFRONT PARKWAY EAST DR STE 305",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142028",
            "telephone_number": "317-248-9299",
            "fax_number": "317-248-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 WATERFRONT PARKWAY EAST DR STE 305",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142028",
            "telephone_number": "317-248-9299",
            "fax_number": "317-248-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "FRANCHISE OWNER",
        "authorized_official_telephone_number": "317-248-9299"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Waggoner
• Anna Elizabeth Waggoner, LMT
• Jacquelin K Waggoner, DNP
• Kayce Wagle
• Jaelyn Wagler
• Michelle Louise Wagner-Escobar, AUD
• Alexis Wagner
• Angela B Wagner, D.O.
• Ashley Nicole Wagner, BCBA
• Beth Schuckman Wagner, RPH

• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.