Michiana Community Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MICHIANA COMMUNITY CARE LLC

Practice address

12655 State Road 23
Granger, IN 46530-9641

Phone

(574) 247-7000

Fax

(574) 272-4000

NPI assigned

Jun 12, 2020

Last updated

Jun 12, 2020By 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

Mrs. Payal Koul-Kumar, PTNPI 1033601273

Title

Owner/Ceo

Phone

(574) 343-6954

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Payal Koul-Kumar, PT

  • Physical Therapist
  • Granger, IN
  • NPI 1033601273
  NPD Authorized official

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1841815032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 STATE ROAD 23",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309641",
            "telephone_number": "574-247-7000",
            "fax_number": "574-272-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 STATE ROAD 23",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309641",
            "telephone_number": "574-247-7000",
            "fax_number": "574-272-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "KOUL-KUMAR",
        "authorized_official_first_name": "PAYAL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "574-343-6954",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy McCray
• Cheyney Sanders McWilliams, MD
• Melissa Karasek LLC (Rooted Balance Massage)
• Memorial Hospital of South Bend (Beacon Granger Hospital, A Memorial Hospital Extension)
• Maria Dolores Santos Menzen, PT
• Michiana Hearing Inc (Reger and Associates)
• Michiana Home Care, LLC (Michiana Home Care)
• Michiana Hospitalist LLC
• Michiana Neurologic Medicine, PC
• Michiana Solutions Group LLC (Next Day Access of Michiana)

• Home Health Agency in Granger, IN
• Providers in Granger, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.