KOSCIUSKO HOME CARE & HOSPICE INC (NPI# 1992857973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992857973 |
| Entity Type | Organization |
| Organization Name | KOSCIUSKO HOME CARE & HOSPICE INC |
| Practice Address |
1515 Provident Dr Suite 250 Warsaw IN 46580-3294 |
| Practice Telephone | 5743723401 |
| Practice Fax Number | 5743723415 |
| Mailing Telephone | 5743723401 |
| Mailing Fax Number | 5743723415 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | MR. RICHARD R PACZKOWSKI (ADMINISTRATOR) |
| Authorized Official Telephone | 5743723401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 080052681 | IN | Agencies |
| Y | 251G00000X | Hospice Care, Community Based | 070095111 | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200297120 | 05 | |
| IN | 100272790 | 05 | |
| IN | 100272800 | 05 | |
| ANTHEM BCBS | 174186 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861667941 | Kosciusko Home Care & Hospice Inc | Hospice Care, Community Based | 1515 Provident Dr, Suite 250, Warsaw, IN 46580-3294 | 2008-04-29 |
| Street Address |
1515 PROVIDENT DR SUITE 250 |
| City | WARSAW |
| State | IN |
| Zip Code | 46580-3294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861667941 | Kosciusko Home Care & Hospice Inc | Hospice Care, Community Based | 1515 Provident Dr, Suite 250, Warsaw, IN 46580-3294 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
| 1194255794 | Tyler Scott Kronk | Counselor | 105 Enterprise Drive, Warsaw, IN 46580 | 2017-06-15 |
| 1306244231 | Indiana Physical Therapy, Inc. | Clinic/Center | 3300 Lake City Hwy., Warsaw, IN 46580 | 2014-12-09 |
| 1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
| 1982956934 | Marsha Lynn Dreyer | Occupational Therapy Assistant | 300 E. Prairie Street, Warsaw, IN 46580 | 2012-10-15 |
| 1215286109 | Planned Parenthood of Indiana Warsaw | Clinic/Center | 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 | 2012-09-06 |
| 1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
| 1316132996 | Assisted Living Concepts Inc | Assisted Living Facility | 425 Chinworth Court, Warsaw, IN 46580 | 2007-09-07 |
| 1598986101 | Ericka Ester Haynes | Occupational Therapist | 900 Provident Drive, Warsaw, IN 46580 | 2007-05-01 |
| 1881819555 | Hartwiger Enterprises, Inc. | Home Health | 3510 Commerce Dr., Warsaw, IN 46580 | 2007-04-16 |
| Find all providers in zip 46580 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861667941 | Kosciusko Home Care & Hospice Inc | Hospice Care, Community Based | 1515 Provident Dr, Suite 250, Warsaw, IN 46580-3294 | 2008-04-29 |
| 1164432738 | Benton Co Public Health | Hospice Care, Community Based | 1238 Commercial St, Warsaw, MO 65355-3157 | 2006-08-08 |
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|---|---|---|---|---|
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| 1275150062 | Heartland Hospice Services LLC | Hospice Care, Community Based | 5265 Commerce Blvd Ste A, Crown Point, IN 46307-5327 | 2020-06-29 |
| 1790306710 | Tranquility Hospice and Palliative Care Inc | Hospice Care, Community Based | 9515 Indianapolis Blvd Ste 4, Highland, IN 46322-2644 | 2020-04-30 |
| 1841821741 | Heart To Heart Hospice of Eastern Indiana, LLC | Hospice Care, Community Based | 1 Cass City Ctr Ste 214-217, Logansport, IN 46947-3172 | 2020-01-29 |
| 1376183673 | Preferred Hospice Care, LLC | Hospice Care, Community Based | 224 S Mill St, Fairmount, IN 46928-1940 | 2020-01-14 |
| 1336782119 | Guardian Angels Hospice and Palliative Care of Fort Wayne | Hospice Care, Community Based | 11621 Stellhorn Rd, New Haven, IN 46774-9775 | 2019-10-23 |
| 1205479383 | Eleos,llc | Hospice Care, Community Based | 4601 Maplecrest Rd, Fort Wayne, IN 46835-3980 | 2019-10-22 |
| 1023667755 | Heart To Heart Hospice of Northwest Indiana LLC | Hospice Care, Community Based | 402 Wall St Ste 51, Valparaiso, IN 46383-2567 | 2019-09-05 |
| 1881243509 | Heart To Heart Hospice of Northeast Indiana, LLC | Hospice Care, Community Based | 7223 Engle Rd Ste 210, Fort Wayne, IN 46804-2239 | 2019-09-05 |
| 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.