NPIMap

Organization Active NPI

Visiting Nurse Association of Porter County, Indiana, Inc.

  • Community Based Hospice Care Agency
  • Valparaiso, IN
National Provider Identifier
1528092343
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
06-005122-1 Issued in IN
Legal business name
VISITING NURSE ASSOCIATION OF PORTER COUNTY, INDIANA, INC.
Doing business as
VNA Hospice Homecare
Practice address
501 Marquette St
Valparaiso, IN 46383
Phone
(219) 462-5195
Fax
(219) 462-6020
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Mr. Robert J Franko
Title
Ceo/President
Phone
(219) 531-8053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 06-005122-1 IN Primary

Addresses

Primary practice location

501 Marquette St
Valparaiso, IN 46383

Mailing address

501 Marquette St
Valparaiso, IN 46383-2508
Phone (219) 462-5195

Other practice location 1

1450 E Joliet St Ste 104
Crown Point, IN 46307-4726
Phone (219) 462-5195

Other identifiers 3

IdentifierTypeStateIssuer
9569OtherINBLUE CROSS OF ILLINOIS
200143110MedicaidIN
0000000189883OtherINANTHEM

Other names 1

  • VNA Hospice Homecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100113000416 IN Part A Provider - Hospice 6002995040 Practice locations: Crown Point, IN; Valparaiso, IN
O20111128000470 IN Part B Supplier - Clinic/Group Practice 6002995040 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Valparaiso, IN

Hospice certification: CCN 151505

Legal name
VISITING NURSE ASSOCIATION OF PORTER COUNTY, INDIANA, INC.
Doing business as
VNA HOSPICE HOME CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 26, 1989
Last certification
Sep 1, 2016
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jan 29, 1970 in IN
Enrollment address
501 Marquette St
Valparaiso, IN 46383-2508

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Vna Hospice Home CareCCN 151505
Ownership
Other
Certified
Jun 26, 1989
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

501 Marquette St
Valparaiso, IN 46383
Phone (219) 462-5195

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kendall W Ashley Individual W-2 Managing Employee Jan 1, 2014
Robert Franko Individual Corporate OfficerPresident/Ceo Jan 1, 2019
W-2 Managing EmployeePresident/Ceo Jan 1, 2019
Tresa Evans Individual 5% Or Greater Indirect Ownership Interest Sep 24, 2017
W-2 Managing Employee Sep 24, 2017

Practitioners & affiliated clinicians

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1528092343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARQUETTE ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832508",
            "telephone_number": "219-462-5195",
            "fax_number": "219-462-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARQUETTE ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46383",
            "telephone_number": "219-462-5195",
            "fax_number": "219-462-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 E Joliet St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463074726",
            "country_code": "US",
            "telephone_number": "219-462-5195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF PORTER COUNTY, INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "FRANKO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "219-531-8053",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": "06-005122-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ILLINOIS",
            "identifier": "9569",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200143110",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0000000189883",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VNA Hospice Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VNA Hospice Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.