INTREPID OF NORTHERN INDIANA INC. NPI 1912264946

NPI Information

INTREPID OF NORTHERN INDIANA, INC. is a hospice care community based in Indianapolis, IN. INTREPID OF NORTHERN INDIANA, INC. NPI is 1912264946. The provider is registered as an organization entity type.
The provider Is Doing Business As Intrepid Usa Hospice.

The provider's business location address is:

6002 W 62ND ST STE B
INDIANAPOLIS, IN
ZIP 46278-909
Phone: (317) 337-0203
Fax: (317) 337-0192

The provider's authorized official is Robert Parker .
The authorized official title is Cco and has the following contact phone number (214) 445-3750.

The CLIA number assigned to this NPI record is 15D2175490 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2012 and was last updated on 11/9/2022.

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:

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