St. Mary's at Home

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

License

007035 Issued in IN

Legal business name

ST. MARY'S AT HOME

Practice address

6840 Logan Dr
Suite E
Evansville, IN 47715-8253

Phone

(812) 485-7950

Fax

(812) 485-7724

NPI assigned

May 29, 2007

Last updated

Aug 24, 2007By 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. Kathy J Hall

Title

Executive Director

Phone

(812) 485-4079

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

St Mary's at Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• St. Mary's at Home, LLC

  dba Ascension at Home

  • Home Health Agency
  • Evansville, IN
  • NPI 1780687061
  NPD tax ID

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1205037231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15187",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477160187",
            "telephone_number": "812-485-7950",
            "fax_number": "812-485-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 LOGAN DR",
            "address_2": "SUITE E",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158253",
            "telephone_number": "812-485-7950",
            "fax_number": "812-485-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-485-4079",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "IN",
            "license": "007035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IV",
            "identifier": "000000222679",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Marys Ohio Valley Heartcare LLC
• St Vincent Pediatric Subspecialties
• Shaeli St. Ledger, RN, BSN, MSN, FNP-C
• St. Louis JC Vamc
• St. Louis JC Vamc
• St. Mary's at Home Inc (St. Mary's Medical Equipment)
• St. Mary's at Home, LLC (Ascension at Home)
• St. Mary's Emergency Physicians, LLC
• St. Mary's Freestanding Cath Lab LLC
• St. Mary's Health Inc (St. Vincent Evansville Urgent Care-Westside)

• Home Infusion Agency in Evansville, IN
• Providers in Evansville, IN by specialty
• Home Infusion Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.