Family Hospice of Northeast Indiana Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

060102121 Issued in IN

Legal business name

FAMILY HOSPICE OF NORTHEAST INDIANA INC

Practice address

108 S Jefferson St
Berne, IN 46711-2118

Phone

(260) 589-8598

Fax

(260) 589-8079

NPI assigned

Nov 6, 2006

Last updated

Jan 12, 2017By 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

Sueann McDonna Reynolds

Title

Ceo

Phone

(260) 589-8598

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Roger D. Lemmen, M.D.

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Bluffton, IN
  • NPI 1497825004
  NPD (past)
• Frederica Ann Nodine, NP-C

  • Family Nurse Practitioner
  • Bluffton, IN
  • NPI 1316176258
  NPD (past)
• Tamara J Reynolds, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1336237320
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1851470157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S JEFFERSON ST",
            "city": "BERNE",
            "state": "IN",
            "postal_code": "467112118",
            "telephone_number": "260-589-8598",
            "fax_number": "260-589-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S JEFFERSON ST",
            "city": "BERNE",
            "state": "IN",
            "postal_code": "467112118",
            "telephone_number": "260-589-8598",
            "fax_number": "260-589-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOSPICE OF NORTHEAST INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SUEANN",
        "authorized_official_middle_name": "MCDONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-589-8598"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": "060102121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven A. Degroff, O.D.
• Everside Health, LLC
• Family Eye Clinic, P.C. (Family Eye Care)
• Family Hospice of Northeast Indiana (Family Hospice and Palliative Care)
• Family Hospice of Northeast Indiana Inc (Family Home Care)
• Leslie Ann Fickert, PT
• Debra Ann Fiechter, RN, FNP
• Fisher Dental, P.C.
• Edward A. Fisher, D.D.S.
• Paul Thomas Fisher, D.D.S.

• Community Based Hospice Care Agency in Berne, IN
• Providers in Berne, IN by specialty
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.