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RESIDENTIAL CLINICAL SERVICES INC. NPI 1376549410


NPI Information

NPI: 1376549410
Provider Name: RESIDENTIAL CLINICAL SERVICES, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
8102 GEORGIA ST FL 2
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 736-5718
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RESIDENTIAL CLINICAL SERVICES, INC. is a home health in Merrillville, IN. The provider is 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. RESIDENTIAL CLINICAL SERVICES, INC. NPI is 1376549410. The provider is registered as an organization entity type.

The provider's business location address is:

8102 GEORGIA ST FL 2
MERRILLVILLE, IN
ZIP 46410-225
Phone: (219) 736-5718
Fax: (219) 736-5720

The provider's authorized official is Ahmed A. Mohamed .
The authorized official title is Administrator/president and has the following contact phone number (219) 736-5718.

The enumeration date for this NPI number is 6/23/2005 and was last updated on 8/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health04-005307-1INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150393OTHERINDIANABCBS OF ILLINOIS
2079775500OTHERINDIANAUS DEPT. OF LABOR
3000000097953OTHERINDIANAANTHEM
4100263870MEDICAIDINDIANA
51022733OTHERINDIANAUNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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