Organization Active NPI

Favor Healthcare Services, Inc.

  • Home Health Agency
  • Dyer, IN
National Provider Identifier
1447594718
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAVOR HEALTHCARE SERVICES, INC.
Practice address
425 Joliet St
Suite 219
Dyer, IN 46311-1765
Phone
(219) 227-8900
Fax
(219) 227-8905
NPI assigned
Nov 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Mrs. Helyn Udott
Title
President
Phone
(219) 227-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

425 Joliet St
Suite 219
Dyer, IN 46311-1765

Mailing address

425 Joliet St
Suite 219
Dyer, IN 46311-1765
Phone (219) 227-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130301000159 IN Part A Provider - Home Health Agency 1658526397 Practice locations: Dyer, IN

Home health agency certification: CCN 157667

Legal name
FAVOR HEALTHCARE SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 21, 2014
Last certification
Jan 21, 2014
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 31, 2011 in IN
Enrollment address
425 Joliet St
Ste 219
Dyer, IN 46311-1767
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Favor Healthcare Services IncCCN 157667 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 21, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2049732Favor Healthcare Services Inc425 Joliet St Suite 219, Dyer, IN 46311Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory

Locations

425 Joliet St
Ste 219
Dyer, IN 46311
Phone (219) 227-8900

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Helyn Udott Individual 5% Or Greater Direct Ownership InterestPresident Jul 31, 2011 100%
Corporate OfficerPresident Jul 31, 2011 100%
W-2 Managing EmployeeCeo Jul 31, 2011 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1447594718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 JOLIET ST",
            "address_2": "SUITE 219",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111765",
            "telephone_number": "219-227-8900",
            "fax_number": "219-227-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JOLIET ST",
            "address_2": "SUITE 219",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111765",
            "telephone_number": "219-227-8900",
            "fax_number": "219-227-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVOR HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "UDOTT",
        "authorized_official_first_name": "HELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-227-8900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.