Organization Active NPI

MH Nursing of Indiana, PC

  • General Practice Physician
  • Crown Point, IN
National Provider Identifier
1194359240
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MH NURSING OF INDIANA, PC
Practice address
10090 Georgia St
Crown Point, IN 46307-6526
Phone
(219) 472-4077
NPI assigned
Feb 27, 2020
Organization subpart
Yes
Parent organization
MH NURSING OF INDIANA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Jessica Nass, APN
Title
President
Phone
(802) 857-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

10090 Georgia St
Crown Point, IN 46307-6526

Mailing address

PO Box 5
Winooski, VT 05404-0005
Phone (802) 857-0400

Other names 1

  • Pipefitters Local 597 Crown Pt Other name

National Provider Directory

National Provider Directory
Tax ID family
MH Nursing of Indiana PC3 organizations share this tax ID, including this one
Part of
MH Nursing of Indiana PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10090 Georgia St
Crown Point, IN 46307
Phone (219) 472-4077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1194359240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054040005",
            "telephone_number": "802-857-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 GEORGIA ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463076526",
            "telephone_number": "219-472-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH NURSING OF INDIANA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MH NURSING OF INDIANA, PC",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "NASS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-857-0400",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pipefitters Local 597 Crown Pt",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.