NPIMap

Organization Active NPI

Munster Medical Research Foundation, Inc.

Doing business as Community Home Health Services

  • Home Health Agency
  • Munster, IN
National Provider Identifier
1679671697
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
05-009830-1 Issued in IN
Legal business name
MUNSTER MEDICAL RESEARCH FOUNDATION, INC.
Doing business as
Community Home Health Services
Practice address
901 Ridge Rd
Munster, IN 46321
Phone
(219) 836-1600
Fax
(219) 934-8889
NPI assigned
Sep 21, 2006
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Mrs. Char Kullerstrand
Title
Regional Director
Phone
(219) 934-8994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 05-009830-1 IN Primary

Addresses

Primary practice location

901 Ridge Rd
Munster, IN 46321

Mailing address

PO Box 3602
Munster, IN 46321-0756
Phone (219) 934-8888

Other identifiers 1

IdentifierTypeStateIssuer
200121810AMedicaidIN

Other names 1

  • Community Home Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050606000025 IN Part A Provider - Home Health Agency 8123913183 Practice locations: Munster, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679671697. Details of each certification follow.

Home health agency certification: CCN 157487

Legal name
MUNSTER MEDICAL RESEARCH FOUNDATION INC
Doing business as
COMMUNITY HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 22, 1996
Last certification
Sep 16, 2021
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Dec 28, 1964 in IN
Enrollment address
901 Ridge Rd
Munster, IN 46321-1721

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Community Home Health ServicesCCN 157487 · All quality measures
Overall star rating
4.5 of 5
Ownership
Non-Profit
Certified
Nov 22, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Ken Reed DO3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

901 Ridge Rd
Munster, IN 46321
Phone (219) 836-6716

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Bruce R Yalowitz Individual Corporate Director Jul 1, 2019
Steve Pestikas Individual Corporate Director Jul 1, 2013
Steven Chovanec Individual Corporate Director Jul 1, 2004
David Bochnowski Individual Corporate OfficerTreasurer Jul 1, 1990
Corporate Director Jul 1, 1990
Frankie Fesko Individual Corporate Director Jul 1, 1982
Michael Purcell Individual Corporate Director Jul 1, 2016
Constantine Dovellos Individual Corporate Director Jul 1, 2020
Michael Mellon Individual Corporate Director Jul 1, 2016
Ingrid Wolf Individual Corporate Director Jul 1, 2020
David Wickland Individual Corporate OfficerPresident Feb 1, 2006
Corporate Director Jul 1, 1991
Raymond Arthur Neiswonger Individual Corporate OfficerChief Executive Officer Jul 9, 2022
W-2 Managing Employee Jul 9, 2022
Daniel O'Brien Individual Corporate OfficerChief Financial Officer Jul 5, 2016
W-2 Managing Employee Jul 5, 2016
Nitin S Sardesai Individual Corporate Director Jul 1, 2008
Sandi Merlo Individual Corporate DirectorDirector Dec 1, 2021
Amy Han Individual Corporate DirectorDirector Jul 1, 2022
Community Foundation of Northwest Indiana, Inc Organization, Munster, IN Non-profit 5% Or Greater Indirect Ownership Interest Jan 7, 1985 100%
Thomas Brubaker Individual Corporate Director Jul 1, 1990
Eric a Compton Individual Corporate OfficerSecretary Jul 1, 2005
Corporate Director Jul 1, 2005
Donald Fesko Individual Other Jul 1, 2016
William Hasse Individual Corporate Director Jul 1, 2008
Munster Medical Research Foundation Inc Organization, Munster, IN Non-profit Operational/Managerial Control Aug 1, 1996 100%
M. Nabil Shabeeb Individual Corporate Director Jul 1, 1997
Donald Torrenga Individual Corporate Director Jul 1, 2009

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1679671697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3602",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210756",
            "telephone_number": "219-934-8888",
            "fax_number": "219-934-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIDGE RD",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-836-1600",
            "fax_number": "219-934-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSTER MEDICAL RESEARCH FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "KULLERSTRAND",
        "authorized_official_first_name": "CHAR",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "219-934-8994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "05-009830-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200121810A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.