Individual provider Active NPI

Kimberly N Rumph

  • In Home Supportive Care Agency
  • Merrillville, IN
National Provider Identifier
1720365455
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
11-012637-1 Issued in IN
Practice address
341 W 53Rd LN
Merrillville, IN 46410-1471
Phone
(219) 973-9304
NPI assigned
Nov 9, 2011
Last updated
Nov 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 11-012637-1 IN Primary

Addresses

Primary practice location

341 W 53Rd LN
Merrillville, IN 46410-1471

Mailing address

PO Box 14104
Merrillville, IN 46411-4104
Phone (219) 973-9304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11-012637-1INMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1720365455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14104",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464114104",
            "telephone_number": "219-973-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 W 53RD LN",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101471",
            "telephone_number": "219-973-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMPH",
        "first_name": "KIMBERLY",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "11-012637-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.