PORTER HOSPITAL LLC (NPI# 1154571180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154571180 |
| Entity Type | Organization |
| Organization Name | PORTER HOSPITAL LLC |
| Other Organization Name | NORTHWEST HEALTH-PORTER |
| Practice Address |
3630 Willowcreek Rd Portage IN 46368-5075 |
| Mailing Address |
814 Laporte Ave Valparaiso IN 46383-5860 |
| Practice Telephone | 2192634600 |
| Mailing Telephone | 2192634600 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | PUALA M LALOR (DIRECTOR) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | PORTER HOSPITAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 07-0050331 | IN | Hospital Units |
| Other Name | Type Code |
|---|---|
| Northwest Health-Porter | Doing Business As Name - Organization |
| Porter Portage Hospital Campus Rehab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215151154 | Porter Hospital LLC | General Acute Care Hospital | 85 E Us Highway 6, Valparaiso, IN 46383-8917 | 2007-04-12 |
| Street Address |
3630 WILLOWCREEK RD |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-5075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720074701 | Muhammad Q. Choudry | Emergency Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2005-09-23 |
| 1396383881 | Jed Leifson | Registered Nurse | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2019-12-15 |
| 1508411315 | Chad Anthony Bogue | Nurse Practitioner | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2019-08-08 |
| 1366961757 | Cristina Lubash | Nurse Practitioner | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2017-09-17 |
| 1114468501 | Victoria Anne Pyke | Nurse Practitioner | 3630 Willowcreek Rd, Portage, IN 46368 | 2017-03-17 |
| 1336519685 | Heather Bolan | Speech-Language Pathologist | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2015-09-29 |
| 1346616646 | Porter Group Services, LLC | Hospitalist | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2015-08-20 |
| 1033507538 | Atlantic Silverside Emergency Physicians LLC | Physician Assistant | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2015-01-06 |
| 1235546516 | Reuel Young Uy | Internal Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2014-07-17 |
| 1124452628 | Ranga Kota Md, PC | Internal Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2013-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619317062 | Melanie Jane Shanks | Rehabilitation Unit | 4523 Fairlawn Pass, Fort Wayne, IN 46815-6039 | 2013-06-30 |
| 1013962984 | Saint Joseph Regional Medical Center South Bend Campus Inc | Rehabilitation Unit | 60205 Bodnar Blvd, Mishawaka, IN 46544-9342 | 2006-05-22 |
| 1609873124 | Indianapolis Osteopathic Hospital, Inc | Rehabilitation Unit | 3630 Guion Road, Indianapolis, IN 46222-1616 | 2005-06-30 |
| 1831554369 | La Porte Hospital Company LLC | Rehabilitation Unit | 1007 Lincolnway, La Porte, IN 46350-3201 | 2015-12-29 |
| 1417320979 | Indiana University Health Inc | Rehabilitation Unit | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2015-11-05 |
| 1558788927 | Laura Sanders | Rehabilitation Unit | 2339 S State Road 135, Greenwood, IN 46143-4800 | 2014-03-24 |
| 1811324775 | Progressivehealth of Indiana | Rehabilitation Unit | 150 N Rosenberger Ave, Evansville, IN 47712-6503 | 2013-10-08 |
| 1043579238 | St Vincent Hospital and Health Care Center Inc | Rehabilitation Unit | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2012-05-09 |
| 1225356389 | St. Vincent Health | Rehabilitation Unit | 8227 Northwest Blvd, Indianapolis, IN 46278-1387 | 2010-05-13 |
| 1528297207 | Cni Starke LLC | Rehabilitation Unit | 102 E Culver Rd, Knox, IN 46534-2216 | 2009-07-02 |
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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.