# PEDIATRIC NURSING SPECIALISTS OF INDIANA, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess HomeCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316938152
- **Authorized official:** MS. NANCY C JAKUS RN BSN MBA (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (601) 268-1842

## Contact information

- **Practice address:** 3207 CASCADE DR, VALPARAISO, IN 46383-9149
- **Practice address phone:** (219) 465-5460
- **Practice address fax:** (219) 465-5470
- **Mailing address:** PO BOX 16809, HATTIESBURG, MS 39404-6809
- **Mailing address phone:** (601) 268-1842
- **Mailing address fax:** (601) 268-7898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2005
- **Last updated:** 08/22/2020