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NPI Code Detail

MEDICARE: VOITHOS HEALTH LLC

MEDICARE: VOITHOS HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency
2363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1356194575
Entity Type Code : Organization
Provider Name (Legal Business Name) : VOITHOS HEALTH LLC
Provider Business Mailing Address
First Line : 925 LILLIAN RUSSELL CT
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-7517
Country : US
Telephone Number : 219-713-5225
Fax Number :
Provider Business Practice Location Address
First Line : 3901 W 86TH ST STE 360
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1799
Country : US
Telephone Number : 219-298-0162
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : ELAINE DIANA TSIAKOPOULOS
Credential : APRN
Telephone Number : 219-713-5225
Provider Enumeration Date : 04/08/2024
Last Update Date : 04/08/2024

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Directions to “VOITHOS HEALTH LLC ” Practice Location

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