SKYEVIDA HOME CARE LLC NPI 1043102353

NPI Information

  • NPI: 1043102353
  • Provider Name: SKYEVIDA HOME CARE, LLC
  • Classification: Nursing Care - 251J00000X
  • Entity Type: Organization
  • Address: 3960 SOUTHEASTERN AVE
    INDIANAPOLIS, IN
    ZIP 46203
  • Phone: (317) 683-7068

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NPI Details

SKYEVIDA HOME CARE, LLC is a nursing care in Indianapolis, IN. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. SKYEVIDA HOME CARE, LLC NPI is 1043102353. The provider is registered as an organization entity type.

The provider's business location address is:

3960 SOUTHEASTERN AVE
INDIANAPOLIS, IN
ZIP 46203-500
Phone: (317) 683-7068

The provider's authorized official is Jerrel Rogers .
The authorized official title is Founder and has the following contact phone number (317) 753-6166.

The enumeration date for this NPI number is 7/21/2025 and was last updated on 7/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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