Organization Active NPI

Doctors Home Healthcare LLC

  • Home Health Agency
  • Bremen, IN
National Provider Identifier
1346426145
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DOCTORS HOME HEALTHCARE LLC
Practice address
411 S Whitlock St
Bremen, IN 46506-1626
Phone
(574) 546-3830
Fax
(574) 546-1981
NPI assigned
Jan 11, 2008
Last updated
Mar 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Authorized official

Name
Cameron Gilbert, PHD
Title
Ceo
Phone
(574) 546-3830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

411 S Whitlock St
Bremen, IN 46506-1626

Mailing address

411 S Whitlock St
Bremen, IN 46506-1626
Phone (574) 546-1995

Other identifiers 1

IdentifierTypeStateIssuer
08-005356-2OtherINSTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1346426145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S WHITLOCK ST",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465061626",
            "telephone_number": "574-546-1995",
            "fax_number": "574-546-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S WHITLOCK ST",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465061626",
            "telephone_number": "574-546-3830",
            "fax_number": "574-546-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-546-3830",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "08-005356-2",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.