SENIOR HAVEN HOME CARE (NPI# 1114461464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114461464 |
| Entity Type | Organization |
| Organization Name | SENIOR HAVEN HOME CARE |
| Other Organization Name | HOME INSTEAD SENIOR CARE |
| Practice Address |
513 Pine Lake Ave La Porte IN 46350-2316 |
| Practice Telephone | 2193261082 |
| Practice Fax Number | 2193261413 |
| Mailing Telephone | 2193261082 |
| Mailing Fax Number | 2193261413 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | RACHEL ANN MCDERMOTT (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5635997674 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | IC 16-27-4 | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICAID LPI | 201364430 | 01 |
| IN | PERSONAL SERVICES AGENCY LICENSE | IC-16-27-4 | 01 |
| Other Name | Type Code |
|---|---|
| Home Instead Senior Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SENIOR HAVEN HOME CARE INC. | 3025 Grape Road, Mishawaka, IN 46545 |
| Street Address |
513 PINE LAKE AVE |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780126573 | Rachel Ann Mcdermott | Technician | 513 Pine Lake Ave, La Porte, IN 46350-2316 | 2016-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| 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 |
|---|---|---|---|---|
| 1619433158 | La Porte Home Health, LLC | Home Health | 2044 W State Road 2 Ste A, La Porte, IN 46350-5323 | 2019-02-20 |
| 1881173706 | Melcare of Angels LLC | Home Health | 116 Spencer Lndg E, La Porte, TX 77571-9151 | 2018-08-10 |
| 1942666722 | La Porte Home Care Services LLC | Home Health | 2044 W State Road 2, Ste A, La Porte, IN 46350-5323 | 2016-01-08 |
| 1699023754 | 1 On 1 Home Health Care, LLC | Home Health | 2468 N State Road 39, Suite D, La Porte, IN 46350-2062 | 2012-08-21 |
| 1750404703 | The Limetree Corporation | Home Health | 1719 State St, Suite C, La Porte, IN 46350-3177 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962068 | Nurse Next Door, Fishers | Home Health | 11814 Wedgeport Ln, Fishers, IN 46037-7983 | 2020-11-03 |
| 1871193615 | Divias Care LLC | Home Health | 7843 Big Horn Trl Apt 2502, Indianapolis, IN 46214-2704 | 2020-10-30 |
| 1356941876 | Ann's Personal Care Services LLC | Home Health | 3902 N College Ave Ste 205, Indianapolis, IN 46205-2735 | 2020-10-26 |
| 1700485349 | Allways Essential Home Care | Home Health | 1825 Blue Pine Ln, Indianapolis, IN 46231-4299 | 2020-10-24 |
| 1811594807 | Allegiance Home Health Agency L L C | Home Health | 8802 Madison Ave Ste G, Indianapolis, IN 46227-6400 | 2020-10-03 |
| 1255948204 | Independence Plus-in, LLC | Home Health | 2901 Carlson Dr Ste 361, Hammond, IN 46323-1100 | 2020-09-24 |
| 1760096390 | Noble Home Health Inc | Home Health | 654 Barbados Dr, Indianapolis, IN 46227-2271 | 2020-09-01 |
| 1821601113 | Caring Dove Home Health LLC | Home Health | 4215 W 86th St Ste I, Indianapolis, IN 46268-5737 | 2020-08-26 |
| 1730790536 | Confidence Personal Homecare Services, LLC | Home Health | 2315 Hermitage Way Apt 315, Indianapolis, IN 46224-3821 | 2020-08-14 |
| 1982214896 | 1st Seniors LLC | Home Health | 598 W Carmel Dr Ste F, Carmel, IN 46032-2667 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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| 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.