SULLIVAN COUNTY COMMUNITY HOSPITAL HOME HEALTH
NPI 1790788537
Home Health in Sullivan, IN

Active since May 24, 2005
2110 N HOSPITAL BLVD STE 3, SULLIVAN, IN 47882(812) 268-4311(812) 268-2654 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sullivan County Community Hospital Home Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SULLIVAN COUNTY COMMUNITY HOSPITAL HOME HEALTH (NPI 1790788537) is a healthcare organization registered as a home health in Sullivan, Indiana and active in the NPI registry since May 2005. The organization lists Kenisha J. Simmons, Director, as its authorized official.

NPPES Registry Identity

NPI1790788537
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSULLIVAN COUNTY COMMUNITY HOSPITAL
Location Address2110 N HOSPITAL BLVD STE 3Sullivan, IN 47882-7656
Mailing AddressPo Box 10, 2110 N. Hospital Blvd, Suite #3Sullivan, IN 47882-0010 · (812) 268-4311 · Fax (812) 268-2654
Fax(812) 268-2654
Organization SubpartYes
Authorized OfficialKenisha J. SimmonsDirector · (812) 268-4311
Enumeration DateMay 24, 2005
Last NPPES UpdateJuly 15, 2014
NPI 1790788537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in IN · 05-003248-1
Definition
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.
2110 N HOSPITAL BLVD STE 3, Sullivan, IN 47882

Other Names 1

Doing Business AsSullivan County Community Hospital Home Health

Other Identifiers 4

Medicare OSCAR/certification157542IN
Other=========-011IN · Anthem Blue Cross
Medicaid200387670AIN
Medicare UPIN157542IN

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sullivan County Community Hospital's NPI number?

The NPI number for Sullivan County Community Hospital is 1790788537. It was assigned to this organization in the NPPES registry on May 24, 2005. The provider is doing business as Sullivan County Community Hospital Home Health.

Where is Sullivan County Community Hospital located?

Sullivan County Community Hospital is located at 2110 N Hospital Blvd Ste 3, Sullivan, IN 47882. The listed phone number is (812) 268-4311.

What is Sullivan County Community Hospital's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

What insurance does Sullivan County Community Hospital accept?

Health plans from CareSource list Sullivan County Community Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sullivan County Community Hospital was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.