Active NPI
Indiana Masonic Home, Inc.
- Home Health Agency
- Franklin, IN
National Provider Identifier
1871707737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 070011331
- Legal business name
- INDIANA MASONIC HOME, INC.
- Doing business as
- Acacia Home Health Services
- Practice address
- 690 State Street
Franklin, IN 46131-2591 - Phone
- (317) 736-6141
- Fax
- (317) 736-0454
- NPI assigned
- May 10, 2007
- Organization subpart
- Yes
- Parent organization
- INDIANA MASONIC HOME, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory L. Limeberry
- Title
- Administrator
- Phone
- (317) 736-6141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 070011331 | IN | Primary |
Addresses
Primary practice location
690 State Street
Franklin, IN 46131-2591
Mailing address
690 State Street
Franklin, IN 46131-2591
Phone (317) 736-6141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000590734 | Other | IN | ANTHEM |
Other names 1
- Acacia Home Health Services
National Provider Directory
National Provider Directory- Part of
- Indiana Masonic Home Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226880000000",
"number": "1871707737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 STATE STREET",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312591",
"telephone_number": "317-736-6141",
"fax_number": "317-736-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 STATE STREET",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312591",
"telephone_number": "317-736-6141",
"fax_number": "317-736-0454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA MASONIC HOME, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INDIANA MASONIC HOME, INC.",
"enumeration_date": "2007-05-10",
"last_updated": "2008-11-17",
"status": "A",
"authorized_official_last_name": "LIMEBERRY",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "317-736-6141",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IN",
"license": "070011331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000590734",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Acacia Home Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Franklin, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.