Terria Conwell

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

5835 Jessica Ave
Portage, IN 46368-1662

Phone

(219) 628-5672

NPI assigned

Jan 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Terria Conwell

  • Durable Medical Equipment & Medical Supplies
  • Portage, IN
  • NPI 1679181218
  NPD Authorized official
• Get Well Home Health

  • Home Health Agency
  • Merrillville, IN
  • NPI 1891130605
  NPD

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

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1982243408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 JESSICA AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463681662",
            "telephone_number": "219-628-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 JESSICA AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463681662",
            "telephone_number": "219-628-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWELL",
        "first_name": "TERRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300019795",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@aclindiana.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5835 Jessica Ave",
            "city": "Portage",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463681662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hallee Combs
• Community Chiropractic Spine Center
• Community Chiropractic-Portage, P.C.
• Compassion in Homecare LLC
• Christina Connelly, FNP-C
• Kylee Cook
• Theresa Annette Cooley, PT
• Cory Eyecare PTR
• Kim P Cory, OD
• Scott A Cory, MD

• In Home Supportive Care Agency in Portage, IN
• Providers in Portage, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.