SUZETT MOFFITT (NPI# 1295147718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295147718 |
| Entity Type | Individual |
| Full Name | SUZETT MOFFITT |
| Practice Address |
2401 N Tibbs Ave Indianapolis IN 46222-2457 |
| Practice Telephone | 3177557664 |
| Practice Fax Number | 3179557567 |
| Mailing Telephone | 3177557664 |
| Mailing Fax Number | 3179557567 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | 14-013067-1 | IN | Agencies |
| Y | 253Z00000X | In Home Supportive Care | 14-013067-1 | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | INDIANA STATE DEPARTMENT OF HEALTH | 14-013067-1 | 01 |
| IN | INDIANA STATE DEPARTMENT OF HEALTH | 201172830A | 01 |
| IN | CCR REGISTRATION | 829814297 | 01 |
| IN | CMS EHR CERTIFICATION ID | A0H1301OSSTKEAN | 01 |
| IN | DEPARTMENT OF ADMINISTRATION | 76110000 | 01 |
| Street Address |
2401 N TIBBS AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46222-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780025163 | Suzy Q Service Cororation | Chore Provider | 2401 N Tibbs Ave, Indianapolis, IN 46222 | 2013-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| 1215401450 | Resilient Services | Counselor | 3519 W Michigan Street, Indianapolis, IN 46222 | 2019-01-21 |
| 1376925487 | Ossama Elbarawy | Dentist | 2410 W. 17th St, Indianapolis, IN 46222 | 2015-06-25 |
| 1952607939 | Monica Lee Mcmullen | Dietitian, Registered | 2732 West Michigan St., Westside Health Center, Indianapolis, IN 46222 | 2011-02-08 |
| 1306082318 | Jose Fanor Melendez | Psychiatry & Neurology | 3422 N. Taft Av, Indianapolis, IN 46222 | 2008-12-22 |
| 1861693277 | David Hazra | Preventive Medicine | 340 S. White River Parkway, Indianapolis, IN 46222 | 2007-05-31 |
| 1528191467 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 3025 Green Hills Lane, Indianapolis, IN 46222 | 2007-03-13 |
| 1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
| 1508919077 | Ronald L. Gemma | Family Medicine | 3750 Guion Rd., Ste. 185, Indianapolis, IN 46222 | 2007-01-19 |
| 1588729164 | Martin R Salazar | Dentist | 2001 Weat Washington St., Ste B2, Indianapolis, IN 46222 | 2006-12-26 |
| Find all providers in zip 46222 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821570 | Paige Homecare LLC | In Home Supportive Care | 4806 E 30th St Ste B, Indianapolis, IN 46218-3110 | 2020-11-03 |
| 1083215305 | Mercy Services, LLC | In Home Supportive Care | 3960 Southeastern Ave Ste 113, Indianapolis, IN 46203-1571 | 2020-11-03 |
| 1790392132 | Trusted Care Partners, LLC | In Home Supportive Care | 120 E Market St Ste 908, Indianapolis, IN 46204-3265 | 2020-09-29 |
| 1902422454 | Caring Partners of Central Indiana LLC Dba Amada Senior Care of Centra | In Home Supportive Care | 8444 Castlewood Dr Ste 500, Indianapolis, IN 46250-5535 | 2020-06-21 |
| 1780205252 | Grace Homecare LLC | In Home Supportive Care | 202 Crosby Dr, Indianapolis, IN 46227-2806 | 2020-05-06 |
| 1295364768 | Agape Personal Care Service LLC | In Home Supportive Care | 1848 Ernest Dr, Indianapolis, IN 46234-2359 | 2020-04-06 |
| 1437785185 | Jamika Daulton | In Home Supportive Care | 3519 Mountain Laurel Pl # B, Indianapolis, IN 46205-3349 | 2020-03-13 |
| 1679113955 | Maxxcare Home | In Home Supportive Care | 4463 N Kenmore Rd, Indianapolis, IN 46226-3582 | 2020-01-14 |
| 1437797750 | Riverstone Home Health Services, Inc. | In Home Supportive Care | 6030 S Tacoma Ave, Indianapolis, IN 46227-4728 | 2019-12-17 |
| 1235770835 | A Passionate Helping Hand LLC | In Home Supportive Care | 1040 E 86th St Ste 44-g1040, Indianapolis, IN 46240-1865 | 2019-10-04 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46222 |
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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.