Organization Active NPI

Viaquest Home Health of Indiana, LLC

  • Home Health Agency
  • Muncie, IN
National Provider Identifier
1700953304
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011285 Issued in IN
Legal business name
VIAQUEST HOME HEALTH OF INDIANA, LLC
Practice address
3409 N Briarwood LN
Muncie, IN 47304-5210
Phone
(765) 289-7531
Fax
(765) 289-7533
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Richard Johnson
Title
President
Phone
(614) 339-0820

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X 011285 IN Primary

Addresses

Primary practice location

3409 N Briarwood LN
Muncie, IN 47304-5210

Mailing address

525 Metro Place North, Ste 300
Dublin, OH 43017
Phone (614) 339-0814

Other identifiers 1

IdentifierTypeStateIssuer
200852440AMedicaidIN

Other names 1

  • Care One Homecare Services Former legal business name

National Provider Directory

National Provider Directory

Locations

3515 S Walnut St
Muncie, IN 47302
Phone (765) 289-7531

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1700953304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 METRO PLACE NORTH, STE 300",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43017",
            "telephone_number": "614-339-0814",
            "fax_number": "614-339-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 N BRIARWOOD LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045210",
            "telephone_number": "765-289-7531",
            "fax_number": "765-289-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIAQUEST HOME HEALTH OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-339-0820"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "011285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200852440A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care One Homecare Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.