INTREPID OF NORTHERN INDIANA, INC. (NPI# 1912264946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912264946 |
| Entity Type | Organization |
| Organization Name | INTREPID OF NORTHERN INDIANA, INC. |
| Other Organization Name | INTREPID USA HOSPICE |
| Practice Address |
6002 W 62nd St Ste B Indianapolis IN 46278-2909 |
| Mailing Address |
3220 Keller Springs Rd Ste 108 Carrollton TX 75006-5911 |
| Practice Telephone | 3173370203 |
| Practice Fax Number | 3173370192 |
| Mailing Telephone | 2144453750 |
| Mailing Fax Number | 2144453900 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | PAUL M MCMULLEN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4696736666 |
| 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 |
| Street Address |
6002 W 62ND ST STE B |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46278-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
| 1518411123 | Maricar Maria Veluz | Physical Therapist | 5980 West 71st Street, Suite 102, Indianapolis, IN 46278 | 2016-08-11 |
| 1447514682 | Sean Russell Dillon | Family Medicine | 7439 Woodland Dr Ste 105, Indianapolis, IN 46278 | 2012-07-03 |
| 1154605137 | Lisa Marie Louks | Pharmacist | 6820 Shanghai Circle, Indianapolis, IN 46278 | 2011-10-07 |
| 1750689402 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 5807 W 73rd St, Indianapolis, IN 46278 | 2011-03-04 |
| 1083863013 | Concentra Health Services, Inc. | Clinic/Center | 5604 W. 74th Street, Indianapolis, IN 46278 | 2008-09-15 |
| 1770779001 | Elite Chiropractic & Wellness, Inc | Chiropractor | 5650 West 86th Street, Suite 128, Indianapolis, IN 46278 | 2007-09-20 |
| 1073734737 | Sochiele Atienza | Contractor | 5980 W. 71st Street, Suite 201, Indianapolis, IN 46278 | 2007-05-01 |
| 1417034422 | Julie Daftari | Family Medicine | 7440 Woodland Drive, Indianapolis, IN 46278 | 2006-11-01 |
| 1437146594 | Kci Usa Inc. | Durable Medical Equipment & Medical Supplies | 7015 Corporate Cir, Suite 7015, Indianapolis, IN 46278 | 2005-10-04 |
| Find all providers in zip 46278 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| 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 |
| 1699235887 | Brighton Hospice Indiana LLC | Hospice Care, Community Based | 280 E 96th St Ste 250, Indianapolis, IN 46240-3853 | 2019-03-22 |
| 1629504303 | Life's Journey of Avon,llc | Hospice Care, Community Based | 10241 E. Co Rd 100 N., Indianapolis, IN 46234 | 2017-05-02 |
| 1770968570 | Health Works | Hospice Care, Community Based | 7460 E 30th St, Indianapolis, IN 46219-1111 | 2015-07-22 |
| 1538540638 | Anew Hospice LLC | Hospice Care, Community Based | 3830 E Southport Rd Ste 300, Indianapolis, IN 46237-3261 | 2015-06-15 |
| 1578950895 | Great Lakes Caring Hospice C In, LLC | Hospice Care, Community Based | 5420 W Southern Ave Ste 302a, Indianapolis, IN 46241-5568 | 2015-04-24 |
| 1093102105 | Brookdale Hospice, LLC | Hospice Care, Community Based | 9100 Purdue Rd Ste 100, Indianapolis, IN 46268-1190 | 2015-04-16 |
| 1427395946 | Freedom Hospice, LLC | Hospice Care, Community Based | 7215 E 21st St Ste A, Indianapolis, IN 46219-1777 | 2013-01-04 |
| 1679746267 | Seasons Hospice & Palliative Care of Indiana LLC | Hospice Care, Community Based | 2629 Waterfront Parkway East Dr, Ste 375, Indianapolis, IN 46214-2076 | 2008-04-04 |
| 1336337625 | Peoplefirst Homecare & Hospice of Indiana, LLC | Hospice Care, Community Based | 9785 Crosspoint Blvd, Suite 104, Indianapolis, IN 46256-3356 | 2007-10-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46278 |
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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.