| Nhi Home Base Service Corp. | |
|
4795 Broadway Gary IN 46409 | |
| (219) 887-3688 | |
| (219) 887-2666 |
| Full Name | Nhi Home Base Service Corp. |
|---|---|
| Speciality | Clinic/center |
| Location | 4795 Broadway, Gary, Indiana |
| Authorized Official Name and Position | Paula L. Nalls (CHIEF OF OPERATIONS) |
| Authorized Official Contact | 2198873688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nhi Home Base Service Corp. 4795 Broadway Gary IN 46409-2403 Ph: (219) 887-3688 | Nhi Home Base Service Corp. 4795 Broadway Gary IN 46409 Ph: (219) 887-3688 |
| NPI Number | 1316027998 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316027998 | NPI | - | NPPES |
| 200110090 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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