NPIMap

Organization Active NPI

Northern Indiana Interim Healthcare

  • Home Health Agency
  • Mishawaka, IN
National Provider Identifier
1437278652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTHERN INDIANA INTERIM HEALTHCARE
Practice address
605 W Edison Rd
Suite H
Mishawaka, IN 46545-8823
Phone
(574) 252-5186
Fax
(574) 232-5245
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debra D Parcell, RN
Title
Ceo
Phone
(574) 252-5186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

605 W Edison Rd
Suite H
Mishawaka, IN 46545-8823

Mailing address

605 W Edison Rd
Suite H
Mishawaka, IN 46545-8823
Phone (574) 252-5186

Other names 1

  • Interim HomeStyle Services of South Bend Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northern Indiana Interim4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437278652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W EDISON RD",
            "address_2": "SUITE H",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458823",
            "telephone_number": "574-252-5186",
            "fax_number": "574-232-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W EDISON RD",
            "address_2": "SUITE H",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458823",
            "telephone_number": "574-252-5186",
            "fax_number": "574-232-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN INDIANA INTERIM HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARCELL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-252-5186",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HomeStyle Services of South Bend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.