St. Mary's At Home, Llc, NPI 1780687061
Home Health Agency in Evansville, IN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1780687061
NPI Entity Type Organization
Provider Name St. Mary's At Home, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 7321 Eagle Crest Blvd Ste B, Evansville, IN, US
Provider Mailing Address 10 Cadillac Dr Ste 400, Brentwood, TN, US, 370271001
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Russell Adkins
Official Position SVP CHIEF LEGAL OFFICER
Phone 615-309-5668

Primary Taxonomy

Taxonomy Code

251E00000X

Taxonomy Name Home Health Agency
Classification

Home Health

Group

Agencies

License No. 007035
License State IN
Description A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Other Organization Name

Ascension at Home
Doing Business As

Business Address

St. Mary's At Home, Llc
7321 Eagle Crest Blvd Ste B

Evansville, IN, US

Phone: 812-774-9760
Fax: 812-475-1739

Mailing Address

St. Mary's At Home, Llc
10 Cadillac Dr Ste 400
Brentwood, TN, US
ZIP 370271001
Phone: 153-777-0226
Fax: 615-373-4457

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000000222679 IN BLUE CROSS INFUSION 01
100380190 IN MEDICAID 05
000000194515 IN BLUE CROSS HOME HEALTH 01

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Kelcie Marie Small

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