EVEREST HEALTHCARE INDIANA, INC. (NPI# 1194830935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194830935 |
| Entity Type | Organization |
| Organization Name | EVEREST HEALTHCARE INDIANA, INC. |
| Other Organization Name | FRESENIUS MEDICAL CARE GARY |
| Practice Address |
3290 Grant St Gary IN 46408-1015 |
| Practice Telephone | 2199802860 |
| Practice Fax Number | 2199803895 |
| Mailing Telephone | 2199802860 |
| Mailing Fax Number | 2199803895 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2009-09-17 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care Gary | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730294570 | Everest Healthcare Indiana, Inc. | Clinic/Center | 817 S 13th St, Decatur, IN 46733-1891 | 2006-08-20 |
| 1386759124 | Everest Healthcare Indiana, Inc. | Clinic/Center | 8670 Broadway, Merrillville, IN 46410-7034 | 2006-08-20 |
| 1821103664 | Everest Healthcare Indiana, Inc. | Clinic/Center | 851 W Burrell Dr, Crown Point, IN 46307-8898 | 2006-08-20 |
| 1003921842 | Everest Healthcare Indiana, Inc. | Clinic/Center | 5972 Us Highway 6, Portage, IN 46368-4946 | 2006-08-20 |
| 1124045869 | Everest Healthcare Indiana, Inc. | Clinic/Center | 230 Bellemeade Ave, Evansville, IN 47713-1771 | 2006-07-17 |
| Street Address |
3290 GRANT ST |
| City | GARY |
| State | IN |
| Zip Code | 46408-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073510244 | Broadway Foot Clinic Corporation | Podiatrist | 3290 Grant St, Suite 108, Gary, IN 46408-1015 | 2005-07-03 |
| 1205180676 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275788 | Brynn T Shelton | Home Health Aide | 4138 Ruthledge St, Gary, IN 46408 | 2017-06-27 |
| 1306243027 | Around The Clock Transportation | Non-emergency Medical Transport (VAN) | 3979 Cleveland St, Gary, IN 46408 | 2014-11-24 |
| 1710900956 | Home Health Services Inc | Home Health | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1023031978 | Nkechi Pauline Onyeukwu | Nurse Practitioner | 3814 Grant Street, Gary, IN 46408 | 2006-07-25 |
| 1093724007 | Geoffrey Okechukwu Onyeukwu | Family Medicine | 3814 Grant Street, Gary, IN 46408 | 2006-08-07 |
| 1629091863 | Home Health Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1952364648 | Trc - Indiana LLC | Clinic/Center | 4802 Broadway, Gary, IN 46408 | 2006-04-11 |
| 1912067349 | Indiana University Northwest | Dentist | 3400 Broadway, Gary, IN 46408-1101 | 2006-12-08 |
| 1669742565 | Stephanie Lynn Smith | Specialist/Technologist | 3400 Broadway, Savannah Center 217, Gary, IN 46408-1101 | 2012-01-09 |
| 1235399726 | Northwest Center Medical Services Corp | Medical Genetics | 3400 Broadway, Gary, IN 46408-1101 | 2008-06-10 |
| Find all providers in zip 46408 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609378165 | The Dialysis Center of Gary LLC | Clinic/Center | 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 | 2018-03-01 |
| 1205180676 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2012-11-06 |
| 1952364648 | Trc - Indiana LLC | Clinic/Center | 4802 Broadway, Gary, IN 46408 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942858436 | Fresenius Medical Care Kyana, LLC | Clinic/Center | 604 Mount Tabor Rd, New Albany, IN 47150-2211 | 2019-08-28 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1114583697 | Dialysis Care Center Merrillville LLC | Clinic/Center | 349 W 80th Pl, Merrillville, IN 46410-5433 | 2019-05-10 |
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1326601808 | The Dialysis Center of Hammond-whiting LLC | Clinic/Center | 1005 5th Avenue, Hammond, IN 46320-1004 | 2019-04-19 |
| 1770049017 | Dialyze Direct In LLC | Clinic/Center | 13295 Illinois St Ste 210, Carmel, IN 46032-3021 | 2019-02-12 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
| 1730695024 | Isd Renal Inc | Clinic/Center | 816 119th St, Whiting, IN 46394-1401 | 2017-12-21 |
| 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.