Triumph Hospital Northwest Indiana. LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

100088991 Issued in IN

Legal business name

TRIUMPH HOSPITAL NORTHWEST INDIANA. LLC

Doing business as

Kindred Hospital Northwest Indiana

Practice address

5454 Hohman Ave
5TH Floor
Hammond, IN 46320

Phone

(219) 937-9900

Fax

(219) 933-2298

NPI assigned

Jan 3, 2011

Last updated

May 6, 2019By 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

Mr. Terrance K. Dillon

Title

Assistant Secretary

Phone

(502) 596-7220

Specialties & licenses 1

Addresses

Other names 1

• Kindred Hospital Northwest Indiana Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1851695019. Details of each certification follow.

• CCN 152012 Hospital · Terminated · Name & address match · Details
• CCN 153032 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 152012

Legal name

KINDRED HOSPITAL NORTHWEST INDIANA

Certification status

Terminated Voluntary: merger or closure, Oct 10, 2021

Provider type (POS)

Hospital – Long-term

Participating since

Sep 1, 1996

Last certification

Jan 25, 2011

Beds

70

Ownership / control type

Private (for profit)

Facility address

5454 Hohman Ave 5TH FL
Hammond, IN 46320

Hospital certification: CCN 153032

Legal name

INTENSIVA HOSPITAL OF NORTHWEST INDIAN

Certification status

Terminated Other: provider status change, Sep 1, 1996

Provider type (POS)

Hospital – Rehabilitation

Participating since

Jan 23, 1996

Last certification

Jan 22, 1996

Beds

17

Ownership / control type

Private (for profit)

Facility address

5454 Hohman Avenue 5TH Floor
Hammond, IN 46320

Locations

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1851695019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 HOHMAN AVE",
            "address_2": "5TH FLOOR",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201931",
            "telephone_number": "219-937-9900",
            "fax_number": "219-933-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 HOHMAN AVE",
            "address_2": "5TH FLOOR",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "46320",
            "telephone_number": "219-937-9900",
            "fax_number": "219-933-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH HOSPITAL NORTHWEST INDIANA. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "IN",
            "license": "100088991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital Northwest Indiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital Northwest Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Hospital in Hammond, IN
• Providers in Hammond, IN by specialty
• Long Term Care Hospital in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.