institution
Indiana University Health La Porte Hospital Inc
Home Health Agency in Michigan City, Indiana
NPI 1952480154

Indiana University Health La Porte Hospital Inc is a Home Health Agency based in Michigan City, IN. Indiana University Health La Porte Hospital Inc practices in Michigan City, IN. The NPI Number for Indiana University Health La Porte Hospital Inc is 1952480154 and holds a License No. 06-006017-1 (Indiana).

The current practice location address for Indiana University Health La Porte Hospital Inc is 901 South Woodland Avenue, Michigan City, IN and can be reached out via phone at 219-871-8100 and via fax at 219-871-8113. You can also correspond with Indiana University Health La Porte Hospital Inc through the mailing address at 901 SOUTH WOODLAND AVENUE, MICHIGAN CITY, IN - 46360-5672 (mailing address contact number: 219-871-8100).

Location: 901 South Woodland Avenue, Michigan City, IN, 46360-5672
institution
Provider Profile Details
NPI Number
1952480154
Provider Name
Indiana University Health La Porte Hospital Inc
Credential
Provider Entity Type
Organization
Address
901 South Woodland Avenue, Michigan City, IN, 46360-5672
Phone Number
219-871-8100
Fax Number
219-871-8113
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200318440 05 IN
26-7760 01 IN MEDICARE PTAN - FLU SHOTS (MASTER ROSTER BILLING)
000000097786 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
901 South Woodland Avenue
City
State
Zip
46360-5672
Phone Number
219-871-8100
Fax Number
219-871-8113
person
Provider Business Mailing Address Details
Address
901 South Woodland Avenue
City
State
Zip
46360-5672
Phone Number
219-871-8100
Fax Number
219-871-8113
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
06-006017-1 (Indiana)
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.
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