INTREPID OF SOUTHWEST INDIANA, INC.


Address: 4600 Vogel Rd Ste 1318, Evansville, IN 47715-2226
Phone: 4696736666

INTREPID OF SOUTHWEST INDIANA, INC. (NPI# 1245848886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245848886
Entity Type Organization
Organization Name INTREPID OF SOUTHWEST INDIANA, INC.
Practice Address 4600 Vogel Rd Ste 1318
Evansville
IN 47715-2226
Mailing Address 3220 Keller Springs Rd Ste 108
Carrollton
TX 75006-5911
Practice Telephone 4696736666
Practice Fax Number 2144453994
Mailing Telephone 2144453750
Mailing Fax Number 2144453900
Enumeration Date 2020-07-20
Last Update Date 2020-07-20
Authorized Official Name PAUL M MCMULLEN (CHIEF OPERATING OFFICER)
Authorized Official Telephone 2144453750
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider/Organization Names

Other Name Type Code
Intrepid USA Healthcare Services Doing Business As Name - Organization

Office Location

Street Address 4600 VOGEL RD STE 1318
City EVANSVILLE
State IN
Zip Code 47715-2226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457969081 Intrepid of The Crescent Valley, Inc. Hospice Care, Community Based 4600 Vogel Rd Ste 1318, Evansville, IN 47715-2226 2020-07-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114528585 Shannon Allcron Pharmacist 6770 E. Virginia St., Evansville, IN 47715 2020-11-03
1609339910 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 1201 Cross Pointe Place, Evansville, IN 47715 2019-04-12
1497229223 Hubert Family Dentistry LLP Dentist 6225 E Columbia St., Evansville, IN 47715 2019-01-15
1083110373 Fyi Healthcare, LLC Registered Nurse 12000 Highway 41 North, Evansville, IN 47715 2018-04-04
1962862755 New Journeys Counseling Services, LLC Community/Behavioral Health 4929 River Wind Pointe Drive, Evansville, IN 47715 2016-03-07
1558702456 Jennifer Hoelter Pharmacist 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 2013-07-09
1952649402 Courtney Ingold Music Therapist 621 E Cullen Ave, Suite 118, Evansville, IN 47715 2013-01-17
1922378041 Sherry A. Fisher Counselor 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 2012-01-05
1710275912 Tonja Leana Winekauf Nurse Practitioner 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 2011-07-21
1003083437 Allcare Dental & Dentures of In PC Dentist 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 2008-05-14
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538419262 Solarbron At Home Inc. Home Health 1501 Mcdowell Rd, Evansville, IN 47712-5408 2012-09-10
1154599348 Need-a-nurse, Inc. Home Health 500 S Green River Rd Ste 208, Evansville, IN 47715-7316 2008-02-11
1558419119 Need A Nurse, Inc Home Health 500 S Green River Rd, Suite 208, Evansville, IN 47715-7316 2007-01-08
1417979345 Healthset L.l.c Home Health 955 S Hebron Ave Ste D, Evansville, IN 47714-4085 2006-07-23
1124044714 Arcadia Health Services, Ic. Home Health 1810 W Franklin St, Evansville, IN 47712-5109 2006-07-15
1093759375 Viaquest Home Health of Indiana, LLC Home Health 14649 Highway 41 N, Evansville, IN 47725-9368 2006-06-16
1982657623 Raven Brust, Children's Home Health Home Health 2800 Kissel Rd, Evansville, IN 47720-7150 2006-05-17
1881642643 Amedisys Sp-in, LLC Home Health 2231 W Franklin St, Ste E, Evansville, IN 47712-5116 2006-05-04
1609852557 Home Health Agency Indiana, LLC Home Health 600 N Weinbach Ave Ste 610, Evansville, IN 47711-5976 2005-12-21
1417945973 American Nursing Care Inc Home Health 2504 Water Bridge Way, #2, Evansville, IN 47710 2005-10-10
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Competitor

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City EVANSVILLE
Zip Code 47715

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Dataset Information

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.

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