Organization Active NPI

Servant's Heart Home Health Services, Inc.

  • Home Health Agency
  • Logansport, IN
National Provider Identifier
1023161320
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
060113011 Issued in IN
Legal business name
SERVANT'S HEART HOME HEALTH SERVICES, INC.
Practice address
1714 Dividend Dr
Logansport, IN 46947-1572
Phone
(574) 739-1776
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jo Ann Nelson, R.N.
Title
Administrator
Phone
(574) 739-1776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 060113011 IN Primary

Addresses

Primary practice location

1714 Dividend Dr
Logansport, IN 46947-1572

Mailing address

1714 Dividend Dr
Logansport, IN 46947-1572
Phone (574) 739-1776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Home health agency certification: CCN 15K187

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SERVANT'S HEART HOME HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 25, 2008
Last certification
Dec 1, 2022
Ownership / control type
Proprietary
Facility address
1714 Dividend Drive
Logansport, IN 46947

National Provider Directory

National Provider Directory

Locations

4101 S Dixon Rd
#A
Kokomo, IN 46902
Phone (765) 453-4305

1904 S Elizabeth St
Kokomo, IN 46902
Phone (765) 453-4305

1714 Dividend Dr
Logansport, IN 46947
Phone (574) 739-1776

948 W Miami Ave
Logansport, IN 46947
Phone (574) 739-1776

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1023161320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 DIVIDEND DR",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471572",
            "telephone_number": "574-739-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 DIVIDEND DR",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471572",
            "telephone_number": "574-739-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT'S HEART HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "574-739-1776",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "060113011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.