Organization Active NPI

Take Care Health Indiana, P. C.

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1770742926
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TAKE CARE HEALTH INDIANA, P. C.
Practice address
3545 W 86TH St
Indianapolis, IN 46268-1930
Phone
(855) 925-4733
Fax
(217) 709-2345
NPI assigned
Jun 3, 2008
Last updated
Dec 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Deborah Hegg
Title
Assistant Secretary
Phone
(855) 925-4733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

3545 W 86TH St
Indianapolis, IN 46268-1930

Mailing address

1901 E Voorhees St
Ms 640
Danville, IL 61834-4509
Phone (855) 925-4733

Other identifiers 1

IdentifierTypeStateIssuer
200953710MedicaidIN

National Provider Directory

National Provider Directory

Locations

16763 Collections Ctr D
Chicago, IL 60693

16763 Collections Ctr Dr
Chicago, IL 60693

1215 S Rangeline Rd
Carmel, IN 46032
Phone (317) 571-0037

1716 Highway 337 NW
Corydon, IN 47112
Phone (812) 280-5313

700 US Highway 31 S
Greenwood, IN 46143
Phone (317) 883-0537

1530 N Meridian St
Indianapolis, IN 46202
Phone (317) 261-1753

8933 S Meridian St
Indianapolis, IN 46217
Phone (317) 417-0446

100 N Memorial Dr
New Castle, IN 47362
Phone (765) 521-0189

1000 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 497-2300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1770742926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES ST",
            "address_2": "MS 640",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618344509",
            "telephone_number": "855-925-4733",
            "fax_number": "217-709-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681930",
            "telephone_number": "855-925-4733",
            "fax_number": "217-709-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE CARE HEALTH INDIANA, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "HEGG",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "855-925-4733"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200953710",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.