Anchor Health Systems, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANCHOR HEALTH SYSTEMS, INC.

Practice address

1351 Silhavy Rd.
Suite 200
Valparaiso, IN 46383-9513

Phone

(219) 662-3500

Fax

(219) 246-2544

NPI assigned

May 31, 2005

Last updated

Dec 16, 2009By 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. Shelly Wilson

Title

President

Phone

(219) 662-3500

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396748737. Details of each certification follow.

• CCN 157163 Home health agency · Active · Details

Home health agency certification: CCN 157163

Legal name

ANCHOR HEALTH SYSTEMS, INC.

Doing business as

ANCHOR HOME HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 3, 1985

Last certification

Sep 15, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

7855 E 108TH Ave
Crown Point, IN 46307-8260

Listed as

Anchor Home Health CareCCN 157163 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Oct 3, 1985

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Anchor Health Systems Inc2 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.

• Anchor Health Systems, Inc.

  dba Anchor Home Healthcare

  • Home Health Agency
  • Valparaiso, IN
  • NPI 1902075062
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1396748737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 SILHAVY RD.",
            "address_2": "SUITE 200",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463839513",
            "telephone_number": "219-662-3500",
            "fax_number": "219-246-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 SILHAVY RD.",
            "address_2": "SUITE 200",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463839513",
            "telephone_number": "219-662-3500",
            "fax_number": "219-246-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-662-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "04-005336-1",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264420",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264420A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Limb and Orthopedic Company of Valparaiso
• American Medical Oxygen Sales Corp.
• Korynn Amm
• William Craig Amos
• Jessica Renee Anand, LSW
• Anchor Health Systems, Inc. (Anchor Home Healthcare)
• Anchor Home Care, LLC
• Shena Nicole Radam Andaya, OTD, OTR/L
• Simon Micah Anderson Schelling, MSW, LCSW
• Autumn Anderson

• Home Health Agency in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.