Making a Difference LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAKING A DIFFERENCE LLC

Practice address

1657 Commerce Dr Ste 8B
South Bend, IN 46628-1542

Phone

(574) 367-0395

Fax

(844) 894-8398

NPI assigned

Jul 26, 2024

Last updated

Jul 26, 2024By 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

Tara MathisNPI 1346087053

Title

Ceo/Owner

Phone

(574) 367-0395

Specialties & licenses 1

Addresses

Locations

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.

• Tara Eugenia Mathis

  • Home Health Agency
  • South Bend, IN
  • NPI 1346087053
  NPD Authorized official

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1871321174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 COMMERCE DR STE 8B",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466281542",
            "telephone_number": "574-367-0395",
            "fax_number": "844-894-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 COMMERCE DR STE 8B",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466281542",
            "telephone_number": "574-367-0395",
            "fax_number": "844-894-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKING A DIFFERENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "574-367-0395"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrance P. Mahoney, D.D.S.
• Trang Khanh Mai, D.D.S.
• Amina Maisoon
• John R Majewski, MD
• Suzanne Makielski, MS, OTR
• Tracey Lynn Malesa-Wheaton, LCSW
• Javed A Malik, D.O.
• Adrianne Mallory
• Crystal Anne Malone
• Seqouiyah Malone, BSW

• Home Health Agency in South Bend, IN
• Providers in South Bend, 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 Jul 26, 2024; 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.