CAREGIVER HOMES OF INDIANA INC. (NPI# 1225474182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225474182 |
| Entity Type | Organization |
| Organization Name | CAREGIVER HOMES OF INDIANA INC. |
| Practice Address |
201 N Illinois St 16th Floor So Indianapolis IN 46204-1904 |
| Mailing Address |
500 Boylston St Suite 640 Boston MA 02116-3740 |
| Practice Telephone | 6144937666 |
| Mailing Telephone | 6174563700 |
| Mailing Fax Number | 6172367777 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |
| Authorized Official Name | MR. THOMAS RILEY (CEO AND PRESIDENT) |
| Authorized Official Telephone | 6174563787 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAREGIVER HOMES NETWORK INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | CAREGIVER HOMES OF INDIANA INC. | 500 Boyston Street, Suite 640, Boston, MA 02116 |
| Street Address |
201 N ILLINOIS ST 16TH FLOOR SO |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46204-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881605186 | Lora L Crow | Dentist | 201 N Illinois St, Suite 1770, Indianapolis, IN 46204-1904 | 2006-08-11 |
| 1265921332 | Kelly Doone | Audiologist | 201 N Illinois St, Indianapolis, IN 46204-1904 | 2018-05-04 |
| 1942734280 | Hdc Podiatry, LLC | Podiatrist | 201 N Illinois St, 16th Floor South Tower, Indianapolis, IN 46204-1904 | 2017-04-13 |
| 1932633278 | Jeffrey L. Morer, Od, PC | Optometrist | 201 N Illinois St, 16th Floor South Tower, Indianapolis, IN 46204-1904 | 2017-04-13 |
| 1316471659 | Mobile Audiology Associates, PC | Audiologist | 201 N Illinois St, 16th Floor South Tower, Indianapolis, IN 46204-1904 | 2017-04-13 |
| 1417480096 | Alec H. Jaret, Dmd, PC | Dentist | 201 N Illinois St, 16th Floor South Tower, Indianapolis, IN 46204-1904 | 2017-04-10 |
| 1063894517 | Jakoda Snider | Family Medicine | 201 N Illinois St, Indianapolis, IN 46204 | 2015-06-22 |
| 1528248424 | Indiana Home Health, Inc | Day Training, Developmentally Disabled Services | 201 N Illinois St, Suite 1600, Indianapolis, IN 46204-1904 | 2007-11-07 |
| 1417146051 | Tony Lynn Trimble | Counselor | 201 N Illinois St, 16th Floor--south Tower, Indianapolis, IN 46204-1904 | 2007-10-19 |
| 1134341332 | Downtown Dental Group, PC | Dentist | 201 N Illinois St, Suite 1770, Indianapolis, IN 46204-1904 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| 1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
| Find all providers in zip 46204 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315095 | Shana P Graham | Custodial Care Facility | 8308 E 11th St, Indianapolis, IN 46219-4003 | 2020-10-28 |
| 1629513700 | Violet Johnson | Custodial Care Facility | 3213 N Riley Ave, Indianapolis, IN 46218-2350 | 2016-12-28 |
| 1477931764 | Grace Adult Family Care LLC | Custodial Care Facility | 2947 N Colorado Ave, Indianapolis, IN 46218-3116 | 2015-05-07 |
| 1730456575 | Amazing Grace Home Care LLC | Custodial Care Facility | 4825 W Beecher St, Indianapolis, IN 46241-4603 | 2011-11-22 |
| 1609162262 | National Mentor Healthcare, LLC | Custodial Care Facility | 8061 Folkstone Rd, Indianapolis, IN 46268-2029 | 2011-06-22 |
| 1255621561 | National Mentor Healthcare, LLC | Custodial Care Facility | 2815 Spring Meadow Ct, Indianapolis, IN 46268 | 2011-04-08 |
| 1184922882 | National Mentor Healthcare, LLC | Custodial Care Facility | 3324 Cherry Lake Rd, Indianapolis, IN 46235-8909 | 2011-03-03 |
| 1124325790 | National Mentor Healthcare, LLC | Custodial Care Facility | 9901 Pendleton Pike, Lot 32, Indianapolis, IN 46236-2886 | 2011-02-17 |
| 1255635066 | Grimes Management Services, Inc. | Custodial Care Facility | 101 W Troy Ave, Indianapolis, IN 46225-2343 | 2011-01-07 |
| 1669781399 | National Mentor Healthcare, LLC | Custodial Care Facility | 602 Parkway Ave, Indianapolis, IN 46203-1840 | 2010-09-29 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46204 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.