Organization Active NPI

Healthmasters,Inc.

  • Home Health Agency
  • Portage, IN
National Provider Identifier
1063464196
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
060063891 Issued in IN
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

Updated by the provider on Mar 10, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100450580MedicaidIN
200032900OtherINMEDICAID WAIVER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.