Active NPI
NDR Home Care Service
- Home Health Agency
- Hammond, IN
National Provider Identifier
1407483225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NDR HOME CARE SERVICE
- Practice address
- 5209 Hohman Ave Ste 125
Hammond, IN 46320-1719 - Phone
- (219) 750-1203
- Fax
- (219) 512-9031
- NPI assigned
- Mar 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Vanessa Redd
- Title
- Administrator
- Phone
- (219) 750-1203
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5209 Hohman Ave Ste 125
Hammond, IN 46320-1719
Mailing address
5209 Hohman Ave Ste 125
Hammond, IN 46320-1719
Phone (219) 750-1203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190146923 | Other | IN | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SYNERGY | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
5209 Hohman Ave
Ste 125
Hammond, IN 46320
Phone (219) 750-1203
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Care Attendant
- Hammond, IN
- NPI 1457191694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584921600000",
"number": "1407483225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5209 HOHMAN AVE STE 125",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463201719",
"telephone_number": "219-750-1203",
"fax_number": "219-512-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5209 HOHMAN AVE STE 125",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463201719",
"telephone_number": "219-750-1203",
"fax_number": "219-512-9031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NDR HOME CARE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-23",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A",
"authorized_official_last_name": "REDD",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "219-750-1203",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "190146923",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SYNERGY",
"affiliation": "N",
"endpointDescription": "ELECTRONIC RECORDS",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HEALTH CARE FACILITIES",
"address_1": "5209 Hohman Ave Ste 125",
"city": "Hammond",
"state": "IN",
"country_code": "US",
"postal_code": "463201719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hammond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.