Indiana University Health la Porte Hospital Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

11-005255-1 Issued in IN

Legal business name

INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC

Doing business as

Indiana University Health La Porte VNA Services

Practice address

901 South Woodland Avenue
Michigan City, IN 46360-5672

Phone

(219) 871-8100

Fax

(219) 871-8113

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. G Thor Thordarson

Title

President/Ceo

Phone

(219) 326-2555

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Indiana University Health La Porte VNA Services Doing business as

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1952480154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SOUTH WOODLAND AVENUE",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463605672",
            "telephone_number": "219-871-8100",
            "fax_number": "219-871-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SOUTH WOODLAND AVENUE",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463605672",
            "telephone_number": "219-871-8100",
            "fax_number": "219-871-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "THORDARSON",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "THOR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "219-326-2555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "06-006017-1",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "11-005255-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200318440",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN - FLU SHOTS (MASTER ROSTER BILLING)",
            "identifier": "26-7760",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000097786",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana University Health La Porte VNA Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Incremedical LLC
• Indiana Hearing LLC
• Indiana Heart and Vascular Institute PC
• Indiana Institute of Cardiology
• Indiana University Health la Porte Hospital Inc
• John Alexander Israel, PSY.D
• Catherine Sheila Jackson-Evans, MD, FACOG
• Mark Jacobi, M.D.
• Neel Pramod Jain, M.D.
• James H Timmons, DDS

• Home Health Agency in Michigan City, IN
• Providers in Michigan City, 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 Jun 3, 2015; 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.