Organization Active NPI

Fortress Healthcare Services Inc

Doing business as Fortress Homecare Inc

  • In Home Supportive Care Agency
  • Dyer, IN
National Provider Identifier
1891235305
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
17-017087-1 Issued in IN
Legal business name
FORTRESS HEALTHCARE SERVICES INC
Doing business as
Fortress Homecare Inc
Practice address
425 Joliet St
Ste. 321-B
Dyer, IN 46311-1765
Phone
(219) 515-2583
Fax
(219) 515-2839
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Mrs. Ndidi Obialor, RN
Title
Agency Manager
Phone
(219) 515-2583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 17-017087-1 IN Primary

Addresses

Primary practice location

425 Joliet St
Ste. 321-B
Dyer, IN 46311-1765

Mailing address

425 Joliet St
Ste. 321-B
Dyer, IN 46311-1765
Phone (219) 515-2583

Other names 1

  • Fortress Homecare Inc Doing business as

National Provider Directory

National Provider Directory

Locations

425 Joliet St
Ste 321B
Dyer, IN 46311
Phone (219) 515-2583

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1891235305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 JOLIET ST",
            "address_2": "STE. 321-B",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111765",
            "telephone_number": "219-515-2583",
            "fax_number": "219-515-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JOLIET ST",
            "address_2": "STE. 321-B",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111765",
            "telephone_number": "219-515-2583",
            "fax_number": "219-515-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTRESS HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "OBIALOR",
        "authorized_official_first_name": "NDIDI",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "219-515-2583",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "17-017087-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortress Homecare Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.