INTREPID OF SOUTHERN INDIANA, INC. (NPI# 1538426598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538426598 |
| Entity Type | Organization |
| Organization Name | INTREPID OF SOUTHERN INDIANA, INC. |
| Other Organization Name | INTREPID USA HOSPICE |
| Practice Address |
400 Poplar St 2nd Floor Terre Haute IN 47807-4209 |
| Mailing Address |
3220 Keller Springs Rd Ste 108 Carrollton TX 75006-5911 |
| Practice Telephone | 8125148200 |
| Practice Fax Number | 8125148302 |
| Mailing Telephone | 2144453750 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | PAUL M MCMULLEN (COO) |
| Authorized Official Telephone | 2144453750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Intrepid USA Hospice | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1813 Willow St Ste C, Vincennes, IN 475914276 | 4696736666 | 2144453994 |
| Street Address |
400 POPLAR ST 2ND FLOOR |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47807-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205818846 | Intrepid of Indiana, Inc. | Home Health | 400 Poplar St, 2nd Floor, Terre Haute, IN 47807-4209 | 2005-11-18 |
| 1962736157 | Union Associated Physicians Clinic, LLC | Otolaryngology | 400 Poplar St, Terre Haute, IN 47807-4209 | 2009-09-22 |
| 1568548717 | Associated Physicians & Surgeons Clinic, LLC | Audiologist | 400 Poplar St, Terre Haute, IN 47807-4209 | 2006-10-31 |
| 1427168715 | Pollyanna Sumansky | Audiologist | 400 Poplar St, Terre Haute, IN 47807-4209 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972150175 | Acceleraed Rehabilitation Centers Ltd | Physical Therapist | 516 Wabash Ave, Terre Haute, IN 47807 | 2019-08-22 |
| 1548753403 | Terre Haute Aal Lp | Assisted Living Facility | 650 Lafayette Avenue, Terre Haute, IN 47807 | 2018-06-14 |
| 1790286300 | Hamilton Center, Inc. | Clinic/Center | 88 Court Wabash Court, Terre Haute, IN 47807 | 2018-02-28 |
| 1073022703 | Charles Martinez | Case Manager/Care Coordinator | 1619 5th Ave, Terre Haute, IN 47807 | 2017-09-26 |
| 1326578931 | Ian Nicholas Bostock | Specialist/Technologist | 1113 North 8th Street, Terre Haute, IN 47807 | 2017-06-15 |
| 1619309804 | Kimberly R Rollings | Audiologist | 1429 North Sixth Street, Terre Haute, IN 47807 | 2013-07-30 |
| 1376827550 | Lazaro Vu | Pharmacist | 1300 Wabash Avenue, Terre Haute, IN 47807 | 2011-10-05 |
| 1609016211 | Midwest Neurosurgery, P.C. | Specialist | 1530 N. 7th Street, Suite 106, Terre Haute, IN 47807 | 2009-02-23 |
| 1114007838 | Micheal J Deady Dds Inc | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-10-17 |
| 1316958549 | Wabash Valley Urological Assoc Inc | Specialist | 1235 Ohio Street, Terre Haute, IN 47807 | 2006-08-11 |
| Find all providers in zip 47807 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831136183 | Southerncare, Inc. | Hospice Care, Community Based | 4624 South Spring Hill Junction Road, Terre Haute, IN 47802-4584 | 2006-06-02 |
| 1851729909 | Heart To Heart Hospice of Terre Haute LLC | Hospice Care, Community Based | 500 E Springhill Dr, Suite F, Terre Haute, IN 47802-4439 | 2013-10-29 |
| 1215077144 | Visiting Nurse Assoc. of The Wabash Valley,inc. | Hospice Care, Community Based | 400 8th Ave, Terre Haute, IN 47804-4030 | 2007-02-08 |
| 1720034432 | Vistacare Usa, LLC | Hospice Care, Community Based | 2901 Ohio Blvd, Suite 116, Terre Haute, IN 47803-2239 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180168 | Adaptive Hospice, Inc. | Hospice Care, Community Based | 777 Beachway Dr Ste 302, Indianapolis, IN 46224-7876 | 2020-10-08 |
| 1457969081 | Intrepid of The Crescent Valley, Inc. | Hospice Care, Community Based | 4600 Vogel Rd Ste 1318, Evansville, IN 47715-2226 | 2020-07-20 |
| 1275150062 | Heartland Hospice Services LLC | Hospice Care, Community Based | 5265 Commerce Blvd Ste A, Crown Point, IN 46307-5327 | 2020-06-29 |
| 1790306710 | Tranquility Hospice and Palliative Care Inc | Hospice Care, Community Based | 9515 Indianapolis Blvd Ste 4, Highland, IN 46322-2644 | 2020-04-30 |
| 1841821741 | Heart To Heart Hospice of Eastern Indiana, LLC | Hospice Care, Community Based | 1 Cass City Ctr Ste 214-217, Logansport, IN 46947-3172 | 2020-01-29 |
| 1376183673 | Preferred Hospice Care, LLC | Hospice Care, Community Based | 224 S Mill St, Fairmount, IN 46928-1940 | 2020-01-14 |
| 1336782119 | Guardian Angels Hospice and Palliative Care of Fort Wayne | Hospice Care, Community Based | 11621 Stellhorn Rd, New Haven, IN 46774-9775 | 2019-10-23 |
| 1205479383 | Eleos,llc | Hospice Care, Community Based | 4601 Maplecrest Rd, Fort Wayne, IN 46835-3980 | 2019-10-22 |
| 1023667755 | Heart To Heart Hospice of Northwest Indiana LLC | Hospice Care, Community Based | 402 Wall St Ste 51, Valparaiso, IN 46383-2567 | 2019-09-05 |
| 1881243509 | Heart To Heart Hospice of Northeast Indiana, LLC | Hospice Care, Community Based | 7223 Engle Rd Ste 210, Fort Wayne, IN 46804-2239 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47807 |
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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.