NPIMap

Organization Active NPI

Home Care Support, Inc

Doing business as Home Care Assistance

  • Home Health Agency
  • South Bend, IN
National Provider Identifier
1598191553
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
12-012237-1 Issued in IN
Legal business name
HOME CARE SUPPORT, INC
Doing business as
Home Care Assistance
Practice address
1635 N Ironwood Dr Ste 1
South Bend, IN 46635-1847
Phone
(574) 289-4444
Fax
(574) 247-1564
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Mr. Jeff Alisch Sr., BSW, CSA
Title
Ceo
Phone
(574) 289-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 12-012237-1 IN Primary

Addresses

Primary practice location

1635 N Ironwood Dr Ste 1
South Bend, IN 46635-1847

Mailing address

1635 N Ironwood Dr Ste 1
South Bend, IN 46635-1847
Phone (574) 289-4444

Other identifiers 1

IdentifierTypeStateIssuer
200974790-AOtherINMEDICADE LEGACY PROVIDER NUMBER

Other names 1

  • Home Care Assistance Doing business as

National Provider Directory

National Provider Directory

Locations

1635 N Ironwood Dr
Ste 1
South Bend, IN 46635
Phone (574) 289-4444

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1598191553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N IRONWOOD DR STE 1",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351847",
            "telephone_number": "574-289-4444",
            "fax_number": "574-247-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N IRONWOOD DR STE 1",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351847",
            "telephone_number": "574-289-4444",
            "fax_number": "574-247-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE SUPPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "ALISCH",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-289-4444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BSW, CSA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "12-012237-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICADE LEGACY PROVIDER NUMBER",
            "identifier": "200974790-A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care Assistance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.