Organization
HEALTHMASTERS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD C HARMON (PRESIDENT/CEO)
(219) 762-0004
Entity
Organization
Contact information
Practice address
3200 WILLOWCREEK RD STE B, PORTAGE, IN 46368-4486
(219) 762-0004
(219) 762-0082
Mailing address
3200 WILLOWCREEK RD STE B, PORTAGE, IN 46368-4486
(219) 762-0004
(219) 762-0082
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060063891
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100450580
—
IN
01
—
200032900
MEDICAID WAIVER
IN
Enumeration date
05/17/2006
Last updated
03/10/2021
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