Active NPI
Healthmasters,Inc.
- Home Health Agency
- Portage, IN
National Provider Identifier
1063464196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 060063891
- Legal business name
- HEALTHMASTERS,INC.
- Practice address
- 3200 Willowcreek Rd Ste B
Portage, IN 46368-4486 - Phone
- (219) 762-0004
- Fax
- (219) 762-0082
- NPI assigned
- May 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward C Harmon
- Title
- President/Ceo
- Phone
- (219) 762-0004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 060063891 | IN | Primary |
Addresses
Primary practice location
3200 Willowcreek Rd Ste B
Portage, IN 46368-4486
Mailing address
3200 Willowcreek Rd Ste B
Portage, IN 46368-4486
Phone (219) 762-0004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100450580 | Medicaid | IN | |
| 200032900 | Other | IN | MEDICAID WAIVER |
National Provider Directory
National Provider DirectoryLocations
7779 E Ridge Rd
Ste A
Hobart, IN 46342
Phone (219) 947-3530
3200 Willowcreek Rd
Ste C
Portage, IN 46368
Phone (219) 762-0004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615334400000",
"number": "1063464196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 WILLOWCREEK RD STE B",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463684486",
"telephone_number": "219-762-0004",
"fax_number": "219-762-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 WILLOWCREEK RD STE B",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463684486",
"telephone_number": "219-762-0004",
"fax_number": "219-762-0082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHMASTERS,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A",
"authorized_official_last_name": "HARMON",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "219-762-0004",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IN",
"license": "060063891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100450580",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WAIVER",
"identifier": "200032900",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.