| Partners In Hope Indiana Llc | |
|
1048b Sagamore Pkwy W # 1004 West Lafayette IN 47906-1446 | |
| (708) 840-3733 | |
| Not Available |
| Full Name | Partners In Hope Indiana Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1048b Sagamore Pkwy W # 1004, West Lafayette, Indiana |
| Authorized Official Name and Position | Yusuf Salah (PRESIDENT) |
| Authorized Official Contact | 2247778034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners In Hope Indiana Llc 415 W Golf Rd Ste 26 Arlington Heights IL 60005-3923 Ph: (224) 777-8034 | Partners In Hope Indiana Llc 1048b Sagamore Pkwy W # 1004 West Lafayette IN 47906-1446 Ph: (708) 840-3733 |
| NPI Number | 1578150264 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/11/2022 |
| Medicare PECOS PAC ID | 6507273273 |
|---|---|
| Medicare Enrollment ID | O20210324001889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578150264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Margaret Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609270859 PECOS PAC ID: 6507183050 Enrollment ID: I20190111002938 |
| Provider Name | Yusuf Salah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922413327 PECOS PAC ID: 8123321551 Enrollment ID: I20210324002008 |
| Provider Name | Jessica Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053966606 PECOS PAC ID: 9931439155 Enrollment ID: I20210923000967 |
| Provider Name | Shaleena M Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700553906 PECOS PAC ID: 4082002589 Enrollment ID: I20211103001322 |
| Provider Name | Mandy Barbee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396318630 PECOS PAC ID: 1850795329 Enrollment ID: I20211129000318 |
| Provider Name | Sandra J Grano-vrbanoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194018200 PECOS PAC ID: 3476918251 Enrollment ID: I20230501000619 |
| Provider Name | Bashiru Babawale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982163085 PECOS PAC ID: 5890028534 Enrollment ID: I20231216000334 |
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