NPIMap

Organization Active NPI

Individual Support Home Health

  • Home Health Agency
  • Middletown, IN
National Provider Identifier
1023431012
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
13-01160-1 Issued in IN
Legal business name
INDIVIDUAL SUPPORT HOME HEALTH
Practice address
1006 W Mill St
Middletown, IN 47356-9353
Phone
(765) 354-9009
Fax
(765) 354-9090
NPI assigned
Jan 27, 2014
Last updated
Jan 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Mr. Kimberly Jo Moore
Title
Administrator
Phone
(765) 354-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 13-01160-1 IN Primary

Addresses

Primary practice location

1006 W Mill St
Middletown, IN 47356-9353

Mailing address

1006 W Mill St
Middletown, IN 47356-9353
Phone (765) 354-9009

National Provider Directory

National Provider Directory
Tax ID family
Individual Support Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1023431012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 W MILL ST",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "473569353",
            "telephone_number": "765-354-9009",
            "fax_number": "765-354-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 W MILL ST",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "473569353",
            "telephone_number": "765-354-9009",
            "fax_number": "765-354-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL SUPPORT HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "765-354-9009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "13-01160-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.