Northwest Indiana Center for Family and Community Services Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NORTHWEST INDIANA CENTER FOR FAMILY AND COMMUNITY SERVICES INC

Practice address

6947 Hohman Ave
Hammond, IN 46324-1438

Phone

(219) 852-4095

Fax

(219) 932-0433

NPI assigned

Feb 11, 2011

Last updated

Feb 11, 2011By 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

Mr. Paul Southerland

Title

Owner

Phone

(219) 852-4095

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1760789630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6947 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241438",
            "telephone_number": "219-852-4095",
            "fax_number": "219-932-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6947 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241438",
            "telephone_number": "219-852-4095",
            "fax_number": "219-932-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INDIANA CENTER FOR FAMILY AND COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLAND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-852-4095",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE DEPARTMENT OF HEALTH",
            "identifier": "100124511",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Nevarez, PHARMD
• Sujittra Niyakorn, MD
• Latasha Norris
• Northshore Health Centers, Inc (NorthShore Hammond Health Center)
• Northshore Health Centers, Inc (NorthShore Hammond Pharmacy)
• Northwest Indiana Community Action Corporation
• Northwest Indiana Healthy Start
• Northwest Indiana Hospital, LLC
• Northwest Resources, Inc. (Northwest Resources, EAP)
• Michael Ray Nowlin, R.PH

• In Home Supportive Care Agency in Hammond, IN
• Providers in Hammond, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.