Organization Active NPI

Indiana University Health la Porte Hospital Inc

  • Community Based Hospice Care Agency
  • Michigan City, IN
National Provider Identifier
1447336938
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
11-006017-1 Issued in IN
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

Updated by the provider on Sep 16, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200318310MedicaidIN
000000097786OtherINANTHEM

Other names 1

  • Indiana University Health La Porte VNA Services Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.