INDIVIDUAL SUPPORT HOME HEALTH (NPI# 1023431012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023431012 |
| Entity Type | Organization |
| Organization Name | INDIVIDUAL SUPPORT HOME HEALTH |
| Practice Address |
1006 W Mill St Middletown IN 47356-9353 |
| Practice Telephone | 7653549009 |
| Practice Fax Number | 7653549090 |
| Mailing Telephone | 7653549009 |
| Mailing Fax Number | 7653549090 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |
| Authorized Official Name | MR. KIMBERLY JO MOORE (ADMINISTRATOR) |
| Authorized Official Telephone | 7653549009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 13-01160-1 | IN | Agencies |
| Street Address |
1006 W MILL ST |
| City | MIDDLETOWN |
| State | IN |
| Zip Code | 47356-9353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396848016 | Hook Superx LLC | Pharmacy | 1006 W Mill St, Middletown, IN 47356-9353 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942475207 | Cheyenne Workman | Dietitian, Registered | 6145 N 940 W, Middletown, IN 47356 | 2008-04-28 |
| 1922210855 | Brank B Debruhl | Dentist | 4573 East State Rd 236, Brank B Debruhl Dds, Middletown, IN 47356 | 2007-05-04 |
| 1134209182 | Phillip D Foley | Family Medicine | 613 N 10th St, Middletown, IN 47356 | 2006-10-16 |
| 1013950211 | Clark E. Simpson | Specialist/Technologist | 3831 E. 400 South, Middletown, IN 47356 | 2006-06-14 |
| 1619392255 | Moore Healthcare Enterprises Inc | Nursing Facility/Intermediate Care Facility | 131 S 10th St, Middletown, IN 47356 | 2014-02-19 |
| 1801114038 | Lydia Yoder | Dietitian, Registered | 6145 N 940 W, Middletown, IN 47356 | 2010-05-12 |
| 1659496099 | Michael E Goodman | Dentist | 468 N 5th St, Middletown, IN 47356-1004 | 2007-03-21 |
| 1932133881 | Karla Kay Telfer | Nurse Practitioner | 602 N 5th St, Middletown, IN 47356-1008 | 2006-07-10 |
| 1194876318 | Heidi Ann Johnson | Internal Medicine | 602 N 5th St, Middletown, IN 47356-1008 | 2007-01-15 |
| 1922187301 | Sarah Elizabeth Cooper | Nurse Practitioner | 602 N 5th St, Middletown, IN 47356-1008 | 2006-11-04 |
| Find all providers in zip 47356 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458864 | James J Ceaser Jr. | Home Health | 3004 Roosevelt Blvd, Middletown, OH 45044-6318 | 2020-08-17 |
| 1154945277 | Cedar Ridge Home Health | Home Health | 6151 Hursh Rd, Middletown, OH 45042-8938 | 2020-06-04 |
| 1881222743 | Bonnie M Murphy | Home Health | 1502 Yankee Rd, Middletown, OH 45044-5720 | 2020-03-27 |
| 1114586435 | Kindheart Home Care Inc | Home Health | 207 Parker Dr, Middletown, DE 19709-2623 | 2019-06-10 |
| 1356905616 | Nova Leap Health Corp. Holdings Inc Dba All About Home Care | Home Health | 438 E Main Rd Ste 202, Middletown, RI 02842-5264 | 2019-04-23 |
| 1831654409 | Nadesa Quality Care LLC | Home Health | 364 E Main St Ste 193, Middletown, DE 19709-1482 | 2019-02-07 |
| 1972088318 | Good Shepherd Home Services, LLC | Home Health | 24 W Minglewood Dr, Middletown, DE 19709-2408 | 2018-10-02 |
| 1902390149 | Modern Ally Company, LLC | Home Health | 1545 S Breiel Blvd Ste E, Middletown, OH 45044-6703 | 2018-06-20 |
| 1336667112 | Chentellee Madden | Home Health | 614 County Route 78, Middletown, NY 10940 | 2017-08-31 |
| 1104349588 | Clear Waters Home Care Services LLC | Home Health | 40 Grove St Ste 105, Middletown, NY 10940-4873 | 2017-07-18 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 47356 |
Please comment or provide details below to improve the information on INDIVIDUAL SUPPORT HOME HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.