Organization
NDR HOME CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA REDD (ADMINISTRATOR)
(219) 750-1203
Entity
Organization
Contact information
Practice address
5209 HOHMAN AVE STE 125, HAMMOND, IN 46320-1719
(219) 750-1203
(219) 512-9031
Mailing address
5209 HOHMAN AVE STE 125, HAMMOND, IN 46320-1719
(219) 750-1203
(219) 512-9031
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190146923
LICENSE NUMBER
IN
Enumeration date
03/23/2020
Last updated
03/23/2020
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