Organization Active NPI

Everest Healthcare Indiana, Inc.

Doing business as Fresenius Medical Care Crown Point

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Crown Point, IN
National Provider Identifier
1821103664
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
EVEREST HEALTHCARE INDIANA, INC.
Doing business as
Fresenius Medical Care Crown Point
Practice address
851 W Burrell Dr
Crown Point, IN 46307-8898
Phone
(219) 663-8085
NPI assigned
Aug 20, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Mark Fawcett
Title
Treasurer
Phone
(781) 699-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

851 W Burrell Dr
Crown Point, IN 46307-8898

Mailing address

851 W Burrell Dr
Crown Point, IN 46307-8898
Phone (219) 663-8085

Other names 1

  • Fresenius Medical Care Crown Point Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1821103664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 W BURRELL DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078898",
            "telephone_number": "219-663-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 W BURRELL DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078898",
            "telephone_number": "219-663-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST HEALTHCARE INDIANA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresenius Medical Care Crown Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.