Organization Active NPI

At Home Quality Care Non Medical SVC.

  • Home Health Agency
  • Wakarusa, IN
National Provider Identifier
1376685198
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AT HOME QUALITY CARE NON MEDICAL SVC.
Practice address
111 N. Elkhart St.
Wakarusa, IN 46573-0731
Phone
(574) 862-0025
Fax
(574) 862-0035
NPI assigned
Feb 12, 2007
Last updated
Jul 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Erika Nicole Ramirez
Title
Part Owner
Phone
(574) 862-0025

Specialties & licenses 1

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

Addresses

Primary practice location

111 N. Elkhart St.
Wakarusa, IN 46573-0731

Mailing address

PO Box 731
111 N. Elkhart St.
Wakarusa, IN 46573-0731
Phone (574) 862-0025

Other identifiers 1

IdentifierTypeStateIssuer
200981200AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1376685198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731",
            "address_2": "111 N. ELKHART ST.",
            "city": "WAKARUSA",
            "state": "IN",
            "postal_code": "465730731",
            "telephone_number": "574-862-0025",
            "fax_number": "574-862-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N. ELKHART ST.",
            "city": "WAKARUSA",
            "state": "IN",
            "postal_code": "465730731",
            "telephone_number": "574-862-0025",
            "fax_number": "574-862-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME QUALITY CARE NON MEDICAL SVC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "574-862-0025"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200981200A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakarusa, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.