REGENCY HOSPITAL OF NORTHWEST INDIANA, LLC (NPI# 1063414886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063414886 |
| Entity Type | Organization |
| Organization Name | REGENCY HOSPITAL OF NORTHWEST INDIANA, LLC |
| Practice Address |
4321 Fir St 4th Floor East Chicago IN 46312-3049 |
| Mailing Address |
4714 Gettysburg Rd Legal Dpt Mechanicsburg PA 17055-4325 |
| Practice Telephone | 2193927790 |
| Practice Fax Number | 2193789874 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | MR. MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 009849 | IN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200445560A | 05 |
| Street Address |
4321 FIR ST 4TH FLOOR |
| City | EAST CHICAGO |
| State | IN |
| Zip Code | 46312-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447858527 | Addison M Boardman | Audiologist | 4321 Fir St, East Chicago, IN 46312-3097 | 2020-10-12 |
| 1699318899 | Jacob Gregory Huseman | Nurse Practitioner | 4321 Fir St, East Chicago, IN 46312-3049 | 2019-10-21 |
| 1437706298 | Nicole Holland | Registered Nurse | 4321 Fir St, East Chicago, IN 46312-3049 | 2019-08-26 |
| 1477113181 | Diana L Giordano | Student in an Organized Health Care Education/Training Program | 4321 Fir St, East Chicago, IN 46312-3049 | 2019-06-14 |
| 1639635485 | Yajie Rong | Speech-Language Pathologist | 4321 Fir St, East Chicago, IN 46312-3097 | 2019-02-18 |
| 1073079448 | Rachel Elise Ferguson | Occupational Therapist | 4321 Fir St, East Chicago, IN 46312-3049 | 2019-02-11 |
| 1639634637 | Emergency Physician Associates of Indiana PC | Physician Assistant | 4321 Fir St, East Chicago, IN 46312-3049 | 2019-02-04 |
| 1235605452 | Alicia Berman | Occupational Therapist | 4321 Fir St, East Chicago, IN 46312-3049 | 2018-10-15 |
| 1750863841 | Amy E Gomez | Registered Nurse | 4321 Fir St, East Chicago, IN 46312-3049 | 2018-09-05 |
| 1902386600 | Linn Marie Surd | Physical Therapy Assistant | 4321 Fir St, East Chicago, IN 46312-3097 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025896 | 219 Health Network Inc | Clinic/Center | 4320 First Street, Suite 211, East Chicago, IN 46312 | 2019-04-04 |
| 1932663051 | Melissa Lynn Del Rosario | Registered Nurse | St. Catherine Hospital, 4321 Fir St, East Chicago, IN 46312 | 2019-01-23 |
| 1851896013 | Scot Eric West | Registered Nurse | 4320 Fir St Unit 217, East Chicago, IN 46312 | 2018-03-28 |
| 1528598380 | Wellnes for Life | Clinic/Center | 1401 144th St, East Chicago, IN 46312 | 2017-06-14 |
| 1992116305 | Familia Dental Ec LLC | Dentist | 4624a Magoun Avenue, East Chicago, IN 46312 | 2014-05-20 |
| 1821415076 | Ericka Rouse | Counselor | 901 West Chicago Ave., East Chicago, IN 46312 | 2014-03-26 |
| 1568806057 | St. Catherine Hospital Inc. | Pharmacy | 4321 Fir St., East Chicago, IN 46312 | 2013-04-26 |
| 1275882185 | Planned Parenthood of Indiana East Chicago | Clinic/Center | 3931 Main Street, East Chicago, IN 46312 | 2012-09-06 |
| 1851417356 | Deborah Ann Duda | Nurse Practitioner | 1155 E Alexis, Toledo, OH 46312 | 2007-03-22 |
| 1255457826 | Major Hospital | Skilled Nursing Facility | 5025 Mccook Ave, East Chicago, IN 46312 | 2007-03-22 |
| Find all providers in zip 46312 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215341391 | Indiana University Health Inc. | Long Term Care Hospital | 550 University Blvd Rm 3145, Indianapolis, IN 46202-5149 | 2014-06-17 |
| 1336499599 | Gregg Scott Shepherd | Long Term Care Hospital | 1075 W Cr 300 North, New Castle, IN 47362 | 2012-09-14 |
| 1174710750 | Physicians Hospital, LLC | Long Term Care Hospital | 1625 E Jefferson Blvd, Mishawaka, IN 46545-7103 | 2007-09-27 |
| 1871613398 | Northern Indiana Health Care System | Long Term Care Hospital | 45 E Miller Rd, La Fontaine, IN 46940-9292 | 2007-03-29 |
| 1104991447 | Deanna Lynne Harrington | Long Term Care Hospital | 3025 W Sycamore St, Kokomo, IN 46901-4176 | 2006-11-22 |
| 1558446021 | Kindred Hospitals Limited Partnership | Long Term Care Hospital | 1700 W 10th St, Indianapolis, IN 46222-3802 | 2006-10-25 |
| 1417032996 | Transitional Hospitals Corporation of Indiana, Inc. | Long Term Care Hospital | 607 Greenwood Springs Drive, Greenwood, IN 46143-1407 | 2006-10-25 |
| 1114972502 | St. Vincent Seton Specialty Hospital, Inc. | Long Term Care Hospital | 8050 Township Line Road, Indianapolis, IN 46260-1902 | 2006-05-23 |
| 1720087620 | Select Specialty Hospital - Indianapolis Inc | Long Term Care Hospital | 898 E Main St, Greenwood, IN 46143-1407 | 2005-07-21 |
| 1104825140 | Select Specialty Hospital - Fort Wayne Inc | Long Term Care Hospital | 700 Broadway, 7th Fl East, Fort Wayne, IN 46802-1402 | 2005-07-20 |
| Find all providers with the same taxonomy | ||||
| City | EAST CHICAGO |
| Zip Code | 46312 |
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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.