Organization Active NPI

John David Inc

  • Case Management Agency
  • South Bend, IN
National Provider Identifier
1417475302
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
JOHN DAVID INC
Practice address
51596 State Road 933
South Bend, IN 46637-1704
Phone
(574) 367-8580
Fax
(630) 206-2439
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Authorized official

Name
John David Hrab, RNNPI 1164949285
Title
President
Phone
(574) 367-8580

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
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

51596 State Road 933
South Bend, IN 46637-1704

Mailing address

51596 State Road 933
South Bend, IN 46637-1704
Phone (574) 367-8580

Other names 1

  • Michiana Health Inc Doing business as

National Provider Directory

National Provider Directory

Locations

51596 State Road 933
South Bend, IN 46637
Phone (574) 367-8580

Practitioners & affiliated clinicians

Practitioners 2

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": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1417475302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51596 STATE ROAD 933",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466371704",
            "telephone_number": "574-367-8580",
            "fax_number": "630-206-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51596 STATE ROAD 933",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466371704",
            "telephone_number": "574-367-8580",
            "fax_number": "630-206-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DAVID INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "HRAB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-367-8580",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michiana Health Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.