Organization Active NPI

Raven Brust, Children's Home Health

  • Home Health Agency
  • Evansville, IN
National Provider Identifier
1982657623
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NEW AGENCY Issued in IN
Legal business name
RAVEN BRUST, CHILDREN'S HOME HEALTH
Practice address
2800 Kissel Rd
Evansville, IN 47720-7150
Phone
(812) 483-8734
Fax
(812) 963-1191
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Raven Beth Brust, NURSENPI 1205083953
Title
Proprietor
Phone
(812) 483-8734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NEW AGENCY IN Primary

Addresses

Primary practice location

2800 Kissel Rd
Evansville, IN 47720-7150

Mailing address

2800 Kissel Rd
Evansville, IN 47720-7150
Phone (812) 483-8734

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1982657623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 KISSEL RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477207150",
            "telephone_number": "812-483-8734",
            "fax_number": "812-963-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 KISSEL RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477207150",
            "telephone_number": "812-483-8734",
            "fax_number": "812-963-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN BRUST, CHILDREN'S HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BRUST",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "812-483-8734",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "NEW AGENCY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.