NPIMap

Organization Active NPI

Givingback3

  • Home Health Agency
  • Bloomington, IN
National Provider Identifier
1861092512
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GIVINGBACK3
Practice address
1905 N Monroe St
Bloomington, IN 47404-2141
Phone
(812) 929-0428
NPI assigned
Oct 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Mr. Kelly CollierNPI 1417583873
Title
President
Phone
(812) 929-0428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1905 N Monroe St
Bloomington, IN 47404-2141

Mailing address

1905 N Monroe St
Bloomington, IN 47404-2141
Phone (812) 929-0428

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tjmiller@visitingangels.com Direct

National Provider Directory

National Provider Directory

Locations

1007 Central Ave
Columbus, IN 47201
Phone (812) 929-0428

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1861092512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 N MONROE ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042141",
            "telephone_number": "812-929-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 N MONROE ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042141",
            "telephone_number": "812-929-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIVINGBACK3",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-929-0428",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjmiller@visitingangels.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1905 N Monroe St",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474042141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.