NPIMap

Organization Active NPI

Medex Home Healthcare, Incorporated

  • Home Health Agency
  • Gary, IN
National Provider Identifier
1205122710
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11-012603-1 Issued in IN
Legal business name
MEDEX HOME HEALTHCARE, INCORPORATED
Practice address
1338 Broadway
Gary, IN 46407-1309
Phone
(773) 294-1477
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Nelson Hodogbey
Title
President/Ceo
Phone
(773) 294-1477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11-012603-1 IN Primary

Addresses

Primary practice location

1338 Broadway
Gary, IN 46407-1309

Mailing address

1338 Broadway
Gary, IN 46407-1309
Phone (773) 294-1477

National Provider Directory

National Provider Directory

Locations

1338 Broadway
Gary, IN 46407
Phone (773) 294-1477

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1205122710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464071309",
            "telephone_number": "773-294-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464071309",
            "telephone_number": "773-294-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX HOME HEALTHCARE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "HODOGBEY",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "773-294-1477"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "11-012603-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.