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Northern Indiana Interim Healthcare Company Llc
Community Based Hospice Care Agency in Fort Wayne, Indiana
NPI 1306846860

Northern Indiana Interim Healthcare Company Llc is a Community Based Hospice Care Agency based in Fort Wayne, IN. Northern Indiana Interim Healthcare Company Llc practices in Fort Wayne, IN. The NPI Number for Northern Indiana Interim Healthcare Company Llc is 1306846860 and holds a License No. 04-003294-1 (Indiana).

The current practice location address for Northern Indiana Interim Healthcare Company Llc is 111 E Ludwig Rd Ste 105, Fort Wayne, IN and can be reached out via phone at 260-482-9405 and via fax at 260-482-7180. You can also correspond with Northern Indiana Interim Healthcare Company Llc through the mailing address at 310 E DUPONT RD, FORT WAYNE, IN - 46825-2048 (mailing address contact number: 260-482-9405).

Location: 111 E Ludwig Rd Ste 105, Fort Wayne, IN, 46825-2048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306846860
Provider Name
Northern Indiana Interim Healthcare Company Llc
Credential
Provider Entity Type
Organization
Address
111 E Ludwig Rd Ste 105, Fort Wayne, IN, 46825-2048
Phone Number
260-482-9405
Fax Number
260-482-7180
Provider Enumeration Date
07/27/2005
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
200398720B 05 IN
200 396 990A 05 IN
institution
Provider Business Practice Location Address Details
Address
111 E Ludwig Rd Ste 105
City
Fort Wayne
State
Indiana
Zip
46825-4240
Phone Number
260-482-9405
Fax Number
260-482-7180
person
Provider Business Mailing Address Details
Address
310 E Dupont Rd
City
Fort Wayne
State
Indiana
Zip
46825-2048
Phone Number
260-482-9405
Fax Number
260-482-7180
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
04-003294-1 (Indiana)
Definition
Definition to come...
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