Pediatric Nursing Specialists of Indiana, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEDIATRIC NURSING SPECIALISTS OF INDIANA, INC.

Practice address

3207 Cascade Dr
Valparaiso, IN 46383-9149

Phone

(219) 465-5460

Fax

(219) 465-5470

NPI assigned

Nov 1, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Nancy C Jakus, RN BSN MBA

Title

Vice President of Operations

Phone

(601) 268-1842

Specialties & licenses 1

Addresses

Other names 1

• Deaconess HomeCare Doing business as

Tax ID family

Deaconess Homecare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pediatric Nursing Specialists of Indiana, Inc.

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1700877354
  NPD tax ID
• Pediatric Nursing Specialists of Indiana, Inc.

  • Home Health Agency
  • Fort Wayne, IN
  • NPI 1992796619
  NPD tax ID

Locations

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316938152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16809",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394046809",
            "telephone_number": "601-268-1842",
            "fax_number": "601-268-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 CASCADE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463839149",
            "telephone_number": "219-465-5460",
            "fax_number": "219-465-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NURSING SPECIALISTS OF INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAKUS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "601-268-1842",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BSN MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deaconess HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Pavy, MSW/LSW
• Natalie Pearce, MHS, CCC-SLP
• Jenny Lynn Pearson, PT
• Melitza Peckler, PTA
• Pediatric Dentistry of Northwest Indiana PC
• Pediatric Therapy Services
• Sara Pedone
• Melissa Peiffer, MA
• Brianna Pena
• Ruth J Pera, P.T.

• Home Health Agency in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Home 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.