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KHALILAH ODOM
NPI 1376355917
Technician - Personal Care Attendant in Michigan City, IN

Active since January 21, 2025
2302 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360(219) 229-4421 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Khalilah Odom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHALILAH ODOM (NPI 1376355917) is an individual personal care attendant in Michigan City, Indiana and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1376355917
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKHALILAH ODOM
Location Address2302 E MICHIGAN BLVDMichigan City, IN 46360-5372
Mailing Address2302 E Michigan BlvdMichigan City, IN 46360-5372 · (219) 229-4421
Phone(219) 229-4421
Sole ProprietorNo
Enumeration DateJanuary 21, 2025
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1376355917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
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
Also ListedIn Home Supportive CareTaxonomy 253Z00000X · License 25-018545-1 (IN)
Also ListedHome Health AideTaxonomy 374U00000X · License 25018545 (IN)
2302 E MICHIGAN BLVD, Michigan City, IN 46360
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORY HOME CARE AGENCY LLC
Home Health Aide
2302 E MICHIGAN BLVD
MICHIGAN CITY, IN 46360
Laporte County (219) 229-4421
LATRENIA ANDERSON
Technician (Personal Care Attendant)
2302 E MICHIGAN BLVD
MICHIGAN CITY, IN 46360
Laporte County (574) 334-3290
VICTORY HOME CARE AGENCY LLC
In Home Supportive Care
2302 E MICHIGAN BLVD
MICHIGAN CITY, IN 46360
Laporte County (574) 334-3290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khalilah Odom's NPI number?

The NPI number for Khalilah Odom is 1376355917. It was assigned to this individual provider in the NPPES registry on January 21, 2025.

Where is Khalilah Odom located?

Khalilah Odom practices at 2302 E Michigan Blvd, Michigan City, IN 46360. The listed phone number is (219) 229-4421.

What is Khalilah Odom's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Khalilah Odom was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.