Organization
GREATLAND HEALTHCARE OF INDIANA INC.
Active
Other names
Greatland Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MONSURU HASSAN (EXECUTIVE DIRECTOR)
(219) 595-5081
Entity
Organization
Contact information
Practice address
9616 INDIANAPOLIS BLVD FL 2, SUITE D, HIGHLAND, IN 46322-2637
(219) 595-5081
(219) 513-9215
Mailing address
PO BOX 1010, BOLINGBROOK, IL 60440-0141
(219) 595-5081
(219) 513-9215
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-013891-1
STATE LICENSE
IN
Enumeration date
06/09/2016
Last updated
03/01/2026
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