NPIMap

Organization Active NPI

Jasper County Hospital

Doing business as Jasper County Hospital Home Health Care

  • Home Health Agency
  • Rensselaer, IN
National Provider Identifier
1801853023
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JASPER COUNTY HOSPITAL
Doing business as
Jasper County Hospital Home Health Care
Practice address
1104 E Grace St
Rensselaer, IN 47978-3211
Phone
(219) 866-5141
Fax
(219) 866-3234
NPI assigned
May 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeffrey D Webb, C.P.A.
Title
Vice President of Financial Service
Phone
(219) 866-5141

Specialties & licenses 1

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

Addresses

Primary practice location

1104 E Grace St
Rensselaer, IN 47978-3211

Mailing address

1104 E Grace St
Rensselaer, IN 47978-3211
Phone (219) 866-5141

Other identifiers 1

IdentifierTypeStateIssuer
000000097886OtherINBLUE CROSS NUMBER

Other names 1

  • Jasper County Hospital Home Health Care Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801853023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 E GRACE ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479783211",
            "telephone_number": "219-866-5141",
            "fax_number": "219-866-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E GRACE ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479783211",
            "telephone_number": "219-866-5141",
            "fax_number": "219-866-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCIAL SERVICE",
        "authorized_official_telephone_number": "219-866-5141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "000000097886",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasper County Hospital Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rensselaer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.