Active NPI
Indiana Masonic Home, Inc.
- Home Health Agency
- Franklin, IN
National Provider Identifier
1992196638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 15-013621-1
- Legal business name
- INDIANA MASONIC HOME, INC.
- Practice address
- 690 S State St
Franklin, IN 46131-2553 - Phone
- (812) 314-8247
- NPI assigned
- Feb 17, 2015
- 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
- Ms. Amy Barker, RN
- Title
- Administrator
- Phone
- (812) 314-8247
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 15-013621-1 | IN | Primary |
Addresses
Primary practice location
690 S State St
Franklin, IN 46131-2553
Mailing address
690 S State St
Franklin, IN 46131-2553
Phone (812) 314-8247
Other practice location 1
2980 10th St
Columbus, IN 47201-6602
Phone (812) 314-8247
Other practice location 2
760 Five Points Dr
Franklin, IN 46131-2569
Phone (812) 314-8247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201300160A | Medicaid | IN |
National Provider Directory
National Provider Directory- Part of
- Indiana Masonic Home Inc
Locations
2980 10th St
Columbus, IN 47201
Phone (812) 314-8247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1992196638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 S STATE ST",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312553",
"telephone_number": "812-314-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 S STATE ST",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312553",
"telephone_number": "812-314-8247"
}
],
"practiceLocations": [
{
"address_1": "2980 10th St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "IN",
"postal_code": "472016602",
"country_code": "US",
"telephone_number": "812-314-8247",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "760 Five Points Dr",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "IN",
"postal_code": "461312569",
"country_code": "US",
"telephone_number": "812-314-8247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INDIANA MASONIC HOME, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INDIANA MASONIC HOME, INC.",
"enumeration_date": "2015-02-17",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BARKER",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "812-314-8247",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IN",
"license": "15-013621-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201300160A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.