Foster Homecare of Northern Indiana LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FOSTER HOMECARE OF NORTHERN INDIANA LLC

Doing business as

Foster Homecare LLC

Practice address

3029 Woodmont Dr
South Bend, IN 46614-2246

Phone

(574) 514-9470

NPI assigned

Jan 26, 2013

Last updated

Jan 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Terri J King

Title

Owner

Phone

(574) 514-9470

Specialties & licenses 1

Addresses

Other names 1

• Foster Homecare LLC Doing business as

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

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359158400000",
    "number": "1396083341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 WOODMONT DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142246",
            "telephone_number": "574-514-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 WOODMONT DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142246",
            "telephone_number": "574-514-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER HOMECARE OF NORTHERN INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-26",
        "last_updated": "2013-01-26",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-514-9470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foster Homecare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juilann Marie Ford, M.A., CCCSLP
• Ryan Ford, FNP-BC
• Kimberly Haugen Forehand, OTR
• Pamela H Forsey, LCSW
• Sidni Foss, MSW
• Dakota Skyye Foster
• Denicka Foster
• Katie Foster, LCSW
• Meriah Foster
• Heaven Fowler

• In Home Supportive Care Agency in South Bend, IN
• Providers in South Bend, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; 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.