SULLIVAN COUNTY COMMUNITY HOSPITAL (NPI# 1790788537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790788537 |
| Entity Type | Organization |
| Organization Name | SULLIVAN COUNTY COMMUNITY HOSPITAL |
| Other Organization Name | SULLIVAN COUNTY COMMUNITY HOSPITAL HOME HEALTH |
| Practice Address |
2110 N Hospital Blvd Ste 3 Sullivan IN 47882-7656 |
| Mailing Address |
Po Box 10 2110 N. Hospital Blvd, Suite #3 Sullivan IN 47882-0010 |
| Practice Telephone | 8122684311 |
| Practice Fax Number | 8122682654 |
| Mailing Telephone | 8122684311 |
| Mailing Fax Number | 8122682654 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2014-07-15 |
| Authorized Official Name | MS. KENISHA J. SIMMONS (DIRECTOR) |
| Authorized Official Telephone | 8122684311 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | SULLIVAN COUNTY COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 251E00000X | Home Health | 05-003248-1 | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200387670A | 05 |
| Other Name | Type Code |
|---|---|
| Sullivan County Community Hospital Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366076564 | Sullivan County Community Hospital | Clinic/Center | 4146 S 7th St Ste B, Terre Haute, IN 47802-4123 | 2020-02-26 |
| 1497759260 | Sullivan County Community Hospital | General Acute Care Hospital | 2200 N Section St, Sullivan, IN 47882-7523 | 2005-06-09 |
| 1093323701 | Sullivan County Community Hospital | Clinic/Center | 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882-7654 | 2020-07-20 |
| 1497363303 | Sullivan County Community Hospital | Family Medicine | 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882-7654 | 2020-07-16 |
| 1154939320 | Sullivan County Community Hospital | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2020-07-14 |
| 1447805965 | Sullivan County Community Hospital | Family Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2019-08-02 |
| 1467884643 | Sullivan County Community Hospital | Clinic/Center | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2013-07-30 |
| 1275827206 | Sullivan County Community Hospital | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838-8234 | 2011-06-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SULLIVAN COUNTY COMMUNITY HOSPITAL | 2200 N Section St, Sullivan, IN 47882-7523 |
| Indiana Business Entities | SULLIVAN COUNTY COMMUNITY HOSPITAL | Formed Pursuant To Ic 16-22-8-6, "other Entity" Under 23-15-1-5-, To Provide for Assumed Name, ., IN |
| Street Address |
2110 N HOSPITAL BLVD STE 3 |
| City | SULLIVAN |
| State | IN |
| Zip Code | 47882-7656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659718336 | Neil Lynn Smith | Dentist | 118 S. Court St., Sullivan, IN 47882 | 2013-06-04 |
| 1184888000 | Mary Sherman Hospital | Hospice Care, Community Based | 817 North Section Street, Suite A, Sullivan, IN 47882 | 2008-07-10 |
| 1003838194 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 505 West Wolfe Street, Sullivan, IN 47882 | 2006-07-24 |
| 1255580593 | Daniel Choyce Callahan | Psychiatry & Neurology | 2204 N Section St, Sullivan, IN 47882 | 2008-09-11 |
| 1851394175 | Van Evanoff Jr. | Pain Medicine | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2005-05-31 |
| 1982780748 | Associated Physicians & Surgeons Clinic, LLC | Obstetrics & Gynecology | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2006-10-27 |
| 1871996199 | Sullivan Family Dentistry, LLC | Dentist | 2186 N Hospital Blvd., Suite 1, Sullivan, IN 47882-0468 | 2014-10-01 |
| 1487828455 | Kortni Reann Martindale | Speech-Language Pathologist | 368 W Indiana Ave, Sullivan, IN 47882-1117 | 2008-04-21 |
| 1831280585 | Southwest School Corporation | Local Education Agency (LEA) | 110 N Main St, Sullivan, IN 47882-1225 | 2006-09-27 |
| 1780717637 | Brian K Grindstaff | Chiropractor | 210 N Section St Unit C, Sullivan, IN 47882-1237 | 2007-03-13 |
| Find all providers in zip 47882 | ||||
| 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 |
|---|---|---|---|---|
| 1508359308 | Amanda Marie Grim | Home Health | 343 State Route 58, Sullivan, OH 44880-9762 | 2018-06-07 |
| 1265730832 | Lhcg Xxviii, LLC | Home Health | 817 N Section St, Suite A, Sullivan, IN 47882-7605 | 2011-03-07 |
| 1710973235 | Community Homecare Inc | Home Health | 107 E Jefferson St, Sullivan, IL 61951-2025 | 2005-09-20 |
| 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.