Middle Passage, Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIDDLE PASSAGE, INCORPORATED

Practice address

4747 W 24TH Ave
Gary, IN 46406-2821

Phone

(219) 949-4747

Fax

(219) 949-4746

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Margo Olevier Suggs

Title

Administrative Assistant

Phone

(219) 949-4747

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184757320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 W 24TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464062821",
            "telephone_number": "219-949-4747",
            "fax_number": "219-949-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 W 24TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464062821",
            "telephone_number": "219-949-4747",
            "fax_number": "219-949-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE PASSAGE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUGGS",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "OLEVIER",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "219-949-4747",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Gary, IN
• Providers in Gary, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.