Active NPI
John David Inc
- Case Management Agency
- South Bend, IN
National Provider Identifier
1417475302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John David Hrab, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Case Management Registered Nurse
- South Bend, IN
- NPI 1164949285
-
- Registered Respiratory Therapist
- South Bend, IN
- NPI 1811415706
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.