Everest Healthcare Indiana, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

EVEREST HEALTHCARE INDIANA, INC.

Doing business as

MERRILLVILLE DIALYSIS CENTER

Practice address

8670 Broadway
Merrillville, IN 46410-7034

Phone

(219) 791-1000

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Mark Fawcett

Title

Treasurer

Phone

(781) 402-9000

Specialties & licenses 1

Addresses

Other names 1

• MERRILLVILLE DIALYSIS CENTER Doing business as

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386759124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107034",
            "telephone_number": "219-791-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST HEALTHCARE INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-402-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERRILLVILLE DIALYSIS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Essential Care Connect LLC
• Cedrick Estabillo, RBT
• Regina Maurice Etim, SPECIMEN COLLECTOR
• Emily Anne Evans, LCSW
• Jacob C Evans
• Melissa Michelle Evers
• Everside Health, LLC
• Catherine A Ewing-Booker
• Excel Physical Therapy P.C.
• Excel Physical Therapy P.C.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Merrillville, IN
• Providers in Merrillville, IN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center 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.