NPIMap

Organization Active NPI

Northern Indiana Rehab Hospital, LLC

  • Home Health Agency
  • Bremen, IN
National Provider Identifier
1356530935
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTHERN INDIANA REHAB HOSPITAL, LLC
Practice address
411 S Whitlock St
Bremen, IN 46506-1626
Phone
(574) 546-3830
Fax
(574) 546-3881
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Donna M Stealy, RN
Title
Chief Clinical Officer
Phone
(574) 546-1918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

411 S Whitlock St
Bremen, IN 46506-1626

Mailing address

PO Box 36
Bremen, IN 46506-0036
Phone (574) 546-3830

Other names 1

  • Doctors Home Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Doctors Home Health2 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.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1356530935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465060036",
            "telephone_number": "574-546-3830",
            "fax_number": "574-546-3881"
        },
        {
            "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": "574-546-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN INDIANA REHAB HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "STEALY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "574-546-1918",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 18, 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.