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NPISignal

Individual Healthcare Provider

Shana P Graham, CERTIFIED NURSING AI

NPI Record: ActiveCustodial Care Facility — Adult Care Home
NPI1093315095
Indianapolis, Indiana

Provider's NPPES record last updated: October 28, 2020

Overview

Entity Type
Individual Healthcare Provider
NPI
1093315095
Primary Specialty
Custodial Care Facility — Adult Care Home
Practice Location
Indianapolis, Indiana
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 6:46 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Custodial Care Facility

    Adult Care Home

    Nursing & Custodial Care Facilities

    Primary

    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.

    Taxonomy code 311ZA0620X
  • Nurse's Aide

    Nursing Service Related Providers

    (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

    Taxonomy code 376K00000X

Practice Locations

Practice Location

8308 E 11th St

Indianapolis, Indiana 46219-4003

Phone: (317) 531-1550

Record Information

Enumeration Date
October 28, 2020
Provider's NPPES Record Last Updated
October 28, 2020
Certification Date
October 28, 2020
NPISignal NPPES Dataset
August 2026

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