Organization Active NPI

NDR Home Care Service

  • Home Health Agency
  • Hammond, IN
National Provider Identifier
1407483225
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
Mrs. Vanessa ReddNPI 1457191694
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
190146923OtherINLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SYNERGY Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.