NPIMap

Organization Active NPI

Providence Self Sufficiency Ministries, Inc.

Doing business as Guerin Woods Home Health

  • Home Health Agency
  • Georgetown, IN
National Provider Identifier
1467722074
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROVIDENCE SELF SUFFICIENCY MINISTRIES, INC.
Doing business as
Guerin Woods Home Health
Practice address
1400 Cristiani Way
Georgetown, IN 47122-8783
Phone
(812) 951-1878
Fax
(812) 951-1659
NPI assigned
Jan 12, 2012
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PROVIDENCE SELF SUFFICIENCY MINISTRIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Sister Barbara Zeller
Title
President/Ceo
Phone
(812) 951-1878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1400 Cristiani Way
Georgetown, IN 47122-8783

Mailing address

8037 Unruh Dr
Georgetown, IN 47122-8759
Phone (812) 951-1878

Other names 1

  • Guerin Woods Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Providence Self Sufficiency Ministries3 organizations share this tax ID, including this one
Part of
Providence Self Sufficiency Ministries

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1467722074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8037 UNRUH DR",
            "city": "GEORGETOWN",
            "state": "IN",
            "postal_code": "471228759",
            "telephone_number": "812-951-1878",
            "fax_number": "812-951-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CRISTIANI WAY",
            "city": "GEORGETOWN",
            "state": "IN",
            "postal_code": "471228783",
            "telephone_number": "812-951-1878",
            "fax_number": "812-951-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE SELF SUFFICIENCY MINISTRIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE SELF SUFFICIENCY MINISTRIES, INC.",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "ZELLER",
        "authorized_official_first_name": "SISTER",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "812-951-1878"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guerin Woods Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.