# NORTHWEST INDIANA HEALTHY START

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962638544
- **Authorized official:** MRS. RISE ROSS RATNEY (PROJECT DIRECTOR)
- **Authorized official phone:** (219) 989-3939

## Contact information

- **Practice address:** 6939 GRAND AVE, HAMMOND, IN 46323-2550
- **Practice address phone:** (219) 989-3939
- **Practice address fax:** (219) 989-3930
- **Mailing address:** 6939 GRAND AVE, HAMMOND, IN 46323-2550
- **Mailing address phone:** (219) 989-3939
- **Mailing address fax:** (219) 989-3930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2009
- **Last updated:** 06/09/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200064800 | — | IN |