HOME CARE ON DEMAND LLC (NPI# 1619441318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619441318 |
| Entity Type | Organization |
| Organization Name | HOME CARE ON DEMAND LLC |
| Other Organization Name | HOME CARE ON DEMAND |
| Practice Address |
9465 Counselors Row Ste 200 Indianapolis IN 46240-3817 |
| Practice Telephone | 3178054703 |
| Practice Fax Number | 3178054708 |
| Mailing Telephone | 3178054703 |
| Mailing Fax Number | 3178054708 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | MS. JACQUELINE SHARESE WYNNE (MANAGER/ADMINISTRATOR) |
| Authorized Official Telephone | 3177413721 |
| Authorized Official Credential | CNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Home Care on Demand | Doing Business As Name - Organization |
| Street Address |
9465 COUNSELORS ROW STE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46240-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| 1780283879 | Cadence Psychology Studio | Psychologist | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2020-10-20 |
| 1528666922 | Careconnectmd Medical Group Indiana PC | Clinic/Center | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2020-10-16 |
| 1184263295 | Careconnectmd Indiana P.C. | Clinic/Center | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2020-01-06 |
| 1306497391 | Popcorn LLC | Private Vehicle | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2019-09-22 |
| 1922653419 | Key Autism Services In, LLC | Community/Behavioral Health | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2019-08-02 |
| 1295293389 | Patience Compassionate Care LLC | Counselor | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2019-03-07 |
| 1497221709 | Patience Pinky Carter | Counselor | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-10-15 |
| 1629556535 | Jessicah Dawn Walker Herche | Psychologist | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1720507999 | Refractive Surgery Professionals LLC | Clinic/Center | 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 | 2017-09-19 |
| 1184148892 | Hannah Hoyt | Specialist/Technologist | 9504 N. Washington Blvd, Indianapolis, IN 46240 | 2017-08-03 |
| 1134657455 | Donann Kissick | Speech-Language Pathologist | 450 E 96th St., Suite 500, Indianapolis, IN 46240 | 2017-05-31 |
| 1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
| 1871934513 | Kayla Harpenau | Occupational Therapist | 7405 Westfield Blvd, Indianapolis, IN 46240 | 2013-07-10 |
| 1235483835 | Christina Marie Wilson | Nurse Practitioner | 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 | 2012-11-04 |
| 1770850927 | Holly Bergeron | Pharmacist | 1505 E 86th Street, Indianapolis, IN 46240 | 2011-11-16 |
| 1104128214 | Meghan Kyle Fricke | Physician Assistant | 860 E 86th St Ste 4, Indianapolis, IN 46240 | 2010-11-22 |
| 1689901118 | Katherine Jane Russell | Audiologist | 2001 W. 86th St., Indianapolis, IN 46240 | 2009-11-04 |
| Find all providers in zip 46240 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877303 | Quiana Wilson | Technician | 3209 Elmhurst Dr, Indianapolis, IN 46226-6221 | 2020-06-26 |
| 1265920391 | Janet E Smith | Technician | 6843 E 52nd St, Indianapolis, IN 46226-2645 | 2018-04-24 |
| 1750886677 | Leigh Ann Hall | Technician | 2921 Corey Dr, Indianapolis, IN 46227-5839 | 2018-03-25 |
| 1326552266 | Kellee Rembert | Technician | 3106 Jackson Square Ct Apt 18103, Indianapolis, IN 46205-3262 | 2017-11-30 |
| 1720146962 | Judy Leach | Technician | 3206 N Temple Ave, Indianapolis, IN 46218-2047 | 2006-12-04 |
| 1073153896 | Josh Tidwell | Technician | 2171 N Avondale Pl, Indianapolis, IN 46218-3867 | 2020-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739822 | Latorious Wilkes | Technician | 7329 Merrick Dr, Brownsburg, IN 46112-5616 | 2020-10-31 |
| 1881216331 | F & P Homecare, LLC | Technician | 4445 Commerce St Ste 201, Evansville, IN 47710-3677 | 2020-05-07 |
| 1568003523 | Stephanie Michelle Parish | Technician | 8111 W 400 S, Winamac, IN 46996 | 2019-10-01 |
| 1710549142 | Julie Baber | Technician | 1180 Coral Springs Dr, Cicero, IN 46034-9214 | 2019-07-05 |
| 1972016491 | At Home Helpers Inc | Technician | 8715 Kennedy Ave, Highland, IN 46322-1642 | 2017-11-06 |
| 1780126573 | Rachel Ann Mcdermott | Technician | 513 Pine Lake Ave, La Porte, IN 46350-2316 | 2016-11-09 |
| 1588804751 | Tanesha Marnise Williams | Technician | 5831 Erie St, Hammond, IN 46324 | 2009-03-02 |
| 1043409089 | Servant's Heart Homemaker Services, LLC | Technician | 948 W Miami Ave, Logansport, IN 46947-2501 | 2007-10-16 |
| 1184682163 | Agapeliving, Inc. | Technician | 9320 Sugar Mill Dr, Fort Wayne, IN 46835-9695 | 2006-05-01 |
| 1174136980 | Shania Johnson | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46240 |
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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.