BROADWAY PHYSICAL THERAPY, INC. (NPI# 1932106416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932106416 |
| Entity Type | Organization |
| Organization Name | BROADWAY PHYSICAL THERAPY, INC. |
| Other Organization Name | DBA PROCARE HOME HEALTH SERVICES |
| Practice Address |
4950 Broadway Suite C Gary IN 46408-4605 |
| Practice Telephone | 2198872273 |
| Practice Fax Number | 2198842848 |
| Mailing Telephone | 2198872273 |
| Mailing Fax Number | 2198842848 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2008-04-03 |
| Authorized Official Name | MRS. VANESSA REDD (ADMINISTRATOR) |
| Authorized Official Telephone | 2198872273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 003042 | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BLUE CROSS BLUE SH | 000000236008 | 01 |
| Other Name | Type Code |
|---|---|
| DBA ProCare Home Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396813689 | Broadway Physical Therapy, Inc. | Physical Therapist | 185 Squire Rd, Revere, MA 02151-1234 | 2006-12-03 |
| Street Address |
4950 BROADWAY SUITE C |
| City | GARY |
| State | IN |
| Zip Code | 46408-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124212451 | Abel E Dafiaghor | Physical Therapist | 4950 Broadway, Ste G, Gary, IN 46408-4654 | 2007-08-29 |
| 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 |
| 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 |
| 1194830935 | Everest Healthcare Indiana, Inc. | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2006-08-20 |
| Find all providers in zip 46408 | ||||
| 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 |
|---|---|---|---|---|
| 1023516077 | Trilogy Rehab Solutions, Inc. | Home Health | 158 County Road 1212, Gary, TX 75643-4357 | 2018-01-24 |
| 1356729586 | New Gary Community Development Corp. | Home Health | 4285 Cleveland St, Gary, IN 46408-2429 | 2015-05-07 |
| 1346589140 | Helping Hands Home Care | Home Health | 8410 Lakewood Ave, Gary, IN 46403-2247 | 2013-02-14 |
| 1598887374 | Gary Neighborhood Services | Home Health | 300 W 21st Ave, Gary, IN 46407-2511 | 2007-04-04 |
| 1295884930 | Great Lakes Adult Living | Home Health | 3700 Jackson St, Gary, IN 46408-2226 | 2007-01-10 |
| 1235290768 | Familygolden Age Care | Home Health | 3843 Madison St, Gary, IN 46408-2728 | 2006-12-12 |
| 1871682161 | Bmo Home Health Care Inc | Home Health | 1970 Grant Street, Gary, IN 46404 | 2006-10-12 |
| 1710900956 | Home Health Services Inc | Home Health | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1285663369 | C & A Home Health Care, Inc. | Home Health | 6105 Miller Ave, Gary, IN 46403-2470 | 2006-07-01 |
| 1205122710 | Medex Home Healthcare, Incorporated | Home Health | 1338 Broadway, Gary, IN 46407-1309 | 2011-06-22 |
| Find all providers in GARY | ||||
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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.