Porter Hospital LLC

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

07-0050331 Issued in IN

Legal business name

PORTER HOSPITAL LLC

Doing business as

Northwest Health-Porter

Practice address

3630 Willowcreek Rd
Portage, IN 46368-5075

Phone

(219) 263-4600

NPI assigned

Sep 26, 2008

Last updated

Apr 20, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

PORTER HOSPITAL LLCAs reported in NPPES

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

Authorized official

Name

Puala M Lalor

Title

Director/Delegated Official

Phone

(629) 215-3953

Specialties & licenses 1

Addresses

Other names 1

• Northwest Health-Porter Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154571180. Details of each certification follow.

• CCN 15T035 Hospital · Details

Hospital certification: CCN 15T035

Legal name

PORTER HOSPITAL LLC

Doing business as

NORTHWEST HEALTH-PORTER

Organization structure

LLCProprietary

Enrollment address

3630 Willowcreek Rd
Portage, IN 46368-5075
Hospital Rehabilitation Unit

Hospital subgroups

Rehabilitation unit

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Porter Hospital LLC

  dba Northwest Health-Porter

  • General Acute Care Hospital
  • Valparaiso, IN
  • NPI 1215151154

  Unit of hospital

  Provider of Services

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Porter Hospital LLC

  dba Northwest Health-Porter

  • General Acute Care Hospital
  • Valparaiso, IN
  • NPI 1215151154

  8729187216

  Same PAC ID

Listed as

Porter HospitalCCN 15T035 · All quality measures

Ownership

For profit

Certified

Jan 1, 2009

Part of

Porter Hospital LLC

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Northern Indiana Oncology Center of Porter Memorial Hospital LLC

  • Radiation Oncology Physician
  • Valparaiso, IN
  • NPI 1912953043

  Member Of

  NPD member

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Thomas Joseph Rohs Jr., MD

  • Surgery Physician
  • Kalamazoo, MI
  • NPI 1194775205

  W-2 Managing Employee

  CMS ownership

Facilities with the same owner 120

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Bluffton Health System LLC

  dba Bluffton Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Bluffton, IN
  • NPI 1356839591

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Bluffton Health System LLC

  dba Bluffton Regional Medical Center

  • General Acute Care Hospital
  • Bluffton, IN
  • NPI 1376594366

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Dukes Health System LLC

  dba Dukes Memorial Hospital

  • Critical Access Hospital
  • Peru, IN
  • NPI 1619920949

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Dukes Health System LLC

  dba Dukes Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Peru, IN
  • NPI 1992749691

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Dupont Hospital LLC

  dba Dupont Hospital

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1538110556

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Iom Health System LP

  dba Lutheran Hospital of Indiana

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1306897335

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Knox Hospital Company LLC

  dba Northwest Health- Starke

  • Rural Acute Care Hospital
  • Knox, IN
  • NPI 1679948319

  CHS Community Health Systems Inc, Community Health Systems Inc, Frankfort Health Partner, Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• La Porte Clinic Company LLC

  dba Knox Family Medical Center

  • Rural Health Clinic/Center
  • Knox, IN
  • NPI 1770936965

  CHS Community Health Systems Inc, Community Health Systems Inc, Frankfort Health Partner, Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• La Porte Hospital Company LLC

  dba Northwest Health-La Porte

  • General Acute Care Hospital
  • La Porte, IN
  • NPI 1750746285

  CHS Community Health Systems Inc, Community Health Systems Inc, Frankfort Health Partner, Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Lutheran Musculoskeletal Center LLC

  dba The Orthopaedic Hospital of Lutheran Health Network

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1174706576

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Porter Hospital LLC

  dba Northwest Health-Porter

  • General Acute Care Hospital
  • Valparaiso, IN
  • NPI 1215151154

  CHS Community Health Systems Inc, Community Health Systems Inc, Frankfort Health Partner, Inc, Hma-Tri Holdings LLC, Northwest Indiana Health System LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• St. Joseph Health System, LLC

  dba Lutheran Downtown Hospital

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1023060472

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mitchell J Mazurek, MD

  • Physical Medicine & Rehabilitation Physician
  • Valparaiso, IN
  • NPI 1043259328

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1154571180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 LAPORTE AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835860",
            "telephone_number": "219-263-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685075",
            "telephone_number": "219-263-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORTER HOSPITAL LLC",
        "enumeration_date": "2008-09-26",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PUALA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IN",
            "license": "07-0050331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Health-Porter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portage Health Center Occupational Health
• Portage Heart Care PC
• Portage Township Schools
• Porter Group Services, LLC
• Porter Health Services (Portage Medical Group)
• Porter Physician Services LLC (Porter Occupational Medicine)
• Porter Physician Services LLC
• Porter Starke Services
• Porter-Starke Services Inc. (Marram Health Center Portage)
• Jamar Porter

• Rehabilitation Hospital Unit in Portage, IN
• Providers in Portage, IN by specialty
• Rehabilitation Hospital Unit in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.