Home Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

06009912 Issued in IN

Legal business name

HOME HEALTH SERVICES INC

Doing business as

Home Health Services of Gary Inc

Practice address

1281 W Ridge Road
Gary, IN 46408

Phone

(219) 981-8440

Fax

(219) 981-8442

NPI assigned

Jul 26, 2006

Last updated

Jan 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gesteen Henderson, RN

Title

Administrator

Phone

(219) 981-8440

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Home Health Services of Gary Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710900956. Details of each certification follow.

• CCN 157511 Home health agency · Active · Details

Home health agency certification: CCN 157511

Legal name

HOME HEALTH SERVICES INC

Doing business as

HOME HEALTH SERVICES OF GARY INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 15, 1997

Last certification

Jan 20, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 12, 1996 in IN

Enrollment address

1281 West Ridge Road
Gary, IN 46408-2123

Listed as

Home Health Services of Gary IncCCN 157511 · All quality measures

Ownership

Proprietary

Certified

May 15, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

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

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1710900956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 W RIDGE ROAD",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46408",
            "telephone_number": "219-981-8440",
            "fax_number": "219-981-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 W RIDGE ROAD",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46408",
            "telephone_number": "219-981-8440",
            "fax_number": "219-981-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "GESTEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-981-8440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "06009912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200141970A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200312150A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health Services of Gary Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Gary, IN
• Providers in Gary, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.