Flourish Health Group in LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FLOURISH HEALTH GROUP IN LLC

Practice address

1160 Joliet St Ste 204
Dyer, IN 46311-3000

Phone

(212) 300-7308

Fax

(212) 300-7308

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Alex Pavicevic

Title

Manager

Phone

(212) 300-7308

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley B. O'Bannon, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dyer, IN
  • NPI 1629248711
  Medicare reassignment NPD
• Rena Frances Rivas Lorek

  • Family Nurse Practitioner
  • Trotwood, OH
  • NPI 1023675642

  IN

  Medicare reassignment NPD
• Amie Swardson Barry, FNP-BC

  • Family Nurse Practitioner
  • Dyer, IN
  • NPI 1487135034
  NPD

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1467168252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 JOLIET ST STE 204",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113000",
            "telephone_number": "212-300-7308",
            "fax_number": "212-300-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 JOLIET ST STE 204",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113000",
            "telephone_number": "212-300-7308",
            "fax_number": "212-300-7308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465451100",
            "country_code": "US",
            "telephone_number": "855-553-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7403 COLDWATER RD",
            "address_purpose": "LOCATION",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253401",
            "country_code": "US",
            "telephone_number": "725-272-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8081 Randolph St Ste A",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "463427068",
            "country_code": "US",
            "telephone_number": "800-799-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLOURISH HEALTH GROUP IN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "PAVICEVIC",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-300-7308"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Favor Healthcare Services, Inc.
• Favor Medical Supplies & Transportation Services Inc
• Katrina Fesko, O.D.
• Madison Kay Fisher, PTA
• Walker Paul Fladt, OTR/L
• Fortress Healthcare Services Inc (Fortress Homecare Inc)
• Marissa Foster
• Foundations Counseling Services, LLC
• Zachary Lawrence Foust, DO
• Franciscan Alliance

• Multi-Specialty Clinic/Center in Dyer, IN
• Providers in Dyer, IN by specialty
• Multi-Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.