Organization Active NPI

Priority Rehab Home Health LLC

  • Home Health Agency
  • Wanatah, IN
National Provider Identifier
1477588507
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIORITY REHAB HOME HEALTH LLC
Practice address
11576 W US Highway 30 Ste E
Wanatah, IN 46390-9300
Phone
(219) 733-1001
Fax
(219) 733-1002
NPI assigned
Jul 11, 2006
Last updated
Feb 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Michelle Wiseman
Title
Administrator
Phone
(317) 688-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11576 W US Highway 30 Ste E
Wanatah, IN 46390-9300

Mailing address

11576 W US Highway 30 Ste E
Wanatah, IN 46390-9300
Phone (219) 733-1001

National Provider Directory

National Provider Directory

Locations

786 McCool Rd
Ste 5
Valparaiso, IN 46385
Phone (219) 759-4999

11576 W US Highway 30
Ste E
Wanatah, IN 46390
Phone (219) 733-1001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1477588507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11576 W US HIGHWAY 30 STE E",
            "city": "WANATAH",
            "state": "IN",
            "postal_code": "463909300",
            "telephone_number": "219-733-1001",
            "fax_number": "219-733-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11576 W US HIGHWAY 30 STE E",
            "city": "WANATAH",
            "state": "IN",
            "postal_code": "463909300",
            "telephone_number": "219-733-1001",
            "fax_number": "219-733-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY REHAB HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-688-8232"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wanatah, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.