Active NPI
Indiana University Health la Porte Hospital Inc
- Community Based Hospice Care Agency
- Michigan City, IN
National Provider Identifier
1447336938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 11-006017-1
- Legal business name
- INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
- Practice address
- 901 South Woodland Ave
Michigan City, IN 46360-5672 - Phone
- (219) 871-8100
- Fax
- (219) 871-8113
- NPI assigned
- Oct 27, 2006
- 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
- Mr. G Thor Thordarson
- Title
- President/Ceo
- Phone
- (219) 326-2555
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 06-006017-1 | IN | |
| Community Based Hospice Care Agency | 251G00000X | 11-006017-1 | IN | Primary |
Addresses
Primary practice location
901 South Woodland Ave
Michigan City, IN 46360-5672
Mailing address
901 South Woodland Ave
Michigan City, IN 46360-5672
Phone (219) 871-8100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200318310 | Medicaid | IN | |
| 000000097786 | Other | IN | ANTHEM |
Other names 1
- Indiana University Health La Porte VNA Services
National Provider Directory
National Provider DirectoryLocations
1007 Lincolnway
#250
Laporte, IN 46350
Phone (219) 326-2300
3777 N Frontage Rd
Ste 700
Michigan City, IN 46360
Phone (219) 325-5481
2855 Miller Dr
Ste 113
Plymouth, IN 46563
Phone (574) 941-1090
1668 S US Highway 421
Westville, IN 46391
Phone (219) 785-3400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Michigan City, IN
- NPI 1952475899
-
- Emergency Medicine Physician
- Laporte, IN
- NPI 1982692166
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379289600000",
"number": "1447336938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SOUTH WOODLAND AVE",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463605672",
"telephone_number": "219-871-8100",
"fax_number": "219-871-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SOUTH WOODLAND AVE",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463605672",
"telephone_number": "219-871-8100",
"fax_number": "219-871-8113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2013-09-16",
"status": "A",
"authorized_official_last_name": "THORDARSON",
"authorized_official_first_name": "G",
"authorized_official_middle_name": "THOR",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "219-326-2555",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "IN",
"license": "06-006017-1",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "IN",
"license": "11-006017-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200318310",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000097786",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Indiana University Health La Porte VNA Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Michigan City, IN
- Illinois Center for Pain Control LLC
- Incremedical LLC
- Indiana Hearing LLC
- Indiana Heart and Vascular Institute PC
- Indiana Institute of Cardiology
- Indiana University Health la Porte Hospital Inc
- John Alexander Israel, PSY.D
- Catherine Sheila Jackson-Evans, MD, FACOG
- Mark Jacobi, M.D.
- Neel Pramod Jain, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.