Organization Active NPI

Indiana Signal Health Group Non-Skilled

  • In Home Supportive Care Agency
  • New Castle, IN
National Provider Identifier
1417397621
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
12-012715-1 Issued in IN
Legal business name
INDIANA SIGNAL HEALTH GROUP NON-SKILLED
Practice address
1930 S Memorial Dr
New Castle, IN 47362-1218
Phone
(765) 238-1381
Fax
(303) 845-8598
NPI assigned
Jul 2, 2013
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Hahn G March
Title
Ceo
Phone
(765) 238-1381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 12-012715-1 IN Primary

Addresses

Primary practice location

1930 S Memorial Dr
New Castle, IN 47362-1218

Mailing address

PO Box 15127
Las Vegas, NV 89114-5127
Phone (765) 238-1381

Other identifiers 1

IdentifierTypeStateIssuer
LPI 201052620MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1417397621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15127",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891145127",
            "telephone_number": "765-238-1381",
            "fax_number": "303-845-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S MEMORIAL DR",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473621218",
            "telephone_number": "765-238-1381",
            "fax_number": "303-845-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA SIGNAL HEALTH GROUP NON-SKILLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2023-09-06",
        "certification_date": "2020-04-25",
        "status": "A",
        "authorized_official_last_name": "MARCH",
        "authorized_official_first_name": "HAHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-238-1381"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "12-012715-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LPI 201052620",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.