Organization Active NPI

Precious Hospice of Indiana, LLC

  • Community Based Hospice Care Agency
  • Crown Point, IN
National Provider Identifier
1508451592
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRECIOUS HOSPICE OF INDIANA, LLC
Practice address
5241 Fountain Dr Ste a-B
Crown Point, IN 46307-5323
Phone
(219) 400-0564
Fax
(219) 402-0763
NPI assigned
Mar 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Henry Mason Jr.
Title
Administrator
Phone
(773) 344-1833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

5241 Fountain Dr Ste a-B
Crown Point, IN 46307-5323

Mailing address

5241 Fountain Dr Ste a-B
Crown Point, IN 46307-5323
Phone (219) 400-0564

National Provider Directory

National Provider Directory

Locations

5241 Fountain Dr
Ste Ab
Crown Point, IN 46307
Phone (219) 400-0564

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1508451592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 FOUNTAIN DR STE A-B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075323",
            "telephone_number": "219-400-0564",
            "fax_number": "219-402-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 FOUNTAIN DR STE A-B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075323",
            "telephone_number": "219-400-0564",
            "fax_number": "219-402-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS HOSPICE OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-344-1833",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.