NPIMap

Organization Active NPI

Indiana University Health la Porte Hospital Inc

  • Rehabilitation Hospital Unit
  • La Porte, IN
National Provider Identifier
1184703704
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
11-005006-1 Issued in IN
Legal business name
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Practice address
1007 Lincolnway
La Porte, IN 46352-0250
Phone
(219) 326-1234
Fax
(219) 325-5403
NPI assigned
Nov 3, 2006
Reactivated
Aug 7, 2007
Last updated
Sep 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Mr. G Thor Thordarson
Title
President/Ceo
Phone
(219) 326-2555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 09-005006-1 IN
Rehabilitation Hospital Unit 273Y00000X 11-005006-1 IN Primary

Addresses

Primary practice location

1007 Lincolnway
La Porte, IN 46352-0250

Mailing address

1007 Lincolnway
La Porte, IN 46352-0250
Phone (219) 326-1234

Other identifiers 5

IdentifierTypeStateIssuer
100269110MedicaidIN
000000097783OtherINANTHEM
200714310MedicaidIN
700339MedicaidIN
100269120MedicaidIN

Other names 1

  • La Porte Regional Health System Inc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1184703704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463520250",
            "telephone_number": "219-326-1234",
            "fax_number": "219-325-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463520250",
            "telephone_number": "219-326-1234",
            "fax_number": "219-325-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2013-09-16",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "THORDARSON",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "THOR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "219-326-2555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IN",
            "license": "09-005006-1",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IN",
            "license": "11-005006-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100269110",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000097783",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200714310",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700339",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100269120",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Porte Regional Health System Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.