Family Hospice of Northeast Indiana Inc
Organization Active NPI Community Based Hospice Care Agency · Berne, IN
NPI 1851470157 · NPPES record last updated Jan 12, 2017
Key facts
- NPI
- 1851470157
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 060102121 (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
- Organization subpart
- No
Authorized official
- Name
- Sueann McDonna Reynolds
- Title
- Ceo
- Phone
- (260) 589-8598
Practitioners 3
-
Roger D. Lemmen, M.D.
-
Frederica Ann Nodine, NP-C
-
Tamara J Reynolds, FNP
National Provider Directory
Locations
1649 Spy Run Ave
Fort Wayne, IN 46805
Phone (260) 422-8520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 060102121 | IN | Yes |
Addresses
Primary practice location
108 S Jefferson St
Berne, IN 46711-2118
Mailing address
108 S Jefferson St
Berne, IN 46711-2118
Phone (260) 589-8598
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000111173 | Other | IN | BLUE CROSS BLUE SHIELD |
| 200163790A | Medicaid | IN |
Other providers in Berne, IN
- Steven A. Degroff
- Everside Health, LLC
- Family Eye Clinic, P.C.
- Family Hospice of Northeast Indiana
- Family Hospice of Northeast Indiana Inc
- Leslie Ann Fickert
- Debra Ann Fiechter
- Fisher Dental, P.C.
- Edward A. Fisher
- Paul Thomas Fisher
All providers in Berne, IN · Community Based Hospice Care Agency in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.