Organization
ST. MARY'S AT HOME, LLC
Active
Other names
Ascension at Home
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ADKINS (SVP CHIEF LEGAL OFFICER)
(615) 309-5668
Entity
Organization
Contact information
Practice address
7321 EAGLE CREST BLVD STE B, EVANSVILLE, IN 47715-8157
(812) 774-9760
(812) 475-1739
Mailing address
10 CADILLAC DR STE 400, BRENTWOOD, TN 37027-1001
(153) 777-0226
(615) 373-4457
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007035
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000194515
BLUE CROSS HOME HEALTH
IN
01
—
000000222679
BLUE CROSS INFUSION
IN
05
—
100380190
—
IN
Enumeration date
05/31/2005
Last updated
09/08/2021
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