NPIMap

Organization Active NPI

Elkhart General Hospital, Inc.

  • Home Health Agency
  • Elkhart, IN
National Provider Identifier
1508032707
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5364 Issued in IN
Legal business name
ELKHART GENERAL HOSPITAL, INC.
Practice address
2020 Industrial Pkwy
Elkhart, IN 46516-5411
Phone
(574) 294-6181
Fax
(574) 293-8930
NPI assigned
May 7, 2008
Organization subpart
Yes
Parent organization
ELKHART GENERAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Mr. C. John Kraft Jr.
Title
Director of Managed Care
Phone
(574) 523-7914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5364 IN Primary

Addresses

Primary practice location

2020 Industrial Pkwy
Elkhart, IN 46516-5411

Mailing address

2020 Industrial Pkwy
Elkhart, IN 46516-5411
Phone (574) 294-6181

Other identifiers 2

IdentifierTypeStateIssuer
100264210AOtherINMEDICAID WAIVER#
100265200AMedicaidIN

Other names 1

  • Elkhart General Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elkhart General Hos Osc7 organizations share this tax ID, including this one
Part of
Elkhart General Hos Osc

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1508032707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 INDUSTRIAL PKWY",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465165411",
            "telephone_number": "574-294-6181",
            "fax_number": "574-293-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 INDUSTRIAL PKWY",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465165411",
            "telephone_number": "574-294-6181",
            "fax_number": "574-293-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHART GENERAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELKHART GENERAL HOSPITAL, INC.",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "574-523-7914",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "5364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER#",
            "identifier": "100264210A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100265200A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elkhart General Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.