Via Quest Home Health of Indiana, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010480 Issued in IN

Legal business name

VIA QUEST HOME HEALTH OF INDIANA, LLC

Doing business as

Mulberry Community Health Services

Practice address

5 N 10TH St
Lafayette, IN 47901-1595

Phone

(765) 237-0086

Fax

(765) 296-2226

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Richard Johnson

Title

President

Phone

(614) 339-0820

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mulberry Community Health Services Doing business as

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1427091099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 METRO PLACE NORTH, STE 300",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43017",
            "telephone_number": "614-339-0814",
            "fax_number": "614-339-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N 10TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479011595",
            "telephone_number": "765-237-0086",
            "fax_number": "765-296-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA QUEST HOME HEALTH OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-339-0820"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "050104801",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "010480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAIVER",
            "identifier": "200392450A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mulberry Community Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.