Provider Demographics
NPI:1376878744
Name:NPLHC LLC
Entity type:Organization
Organization Name:NPLHC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-236-5444
Mailing Address - Street 1:4312 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-4301
Mailing Address - Country:US
Mailing Address - Phone:812-299-4443
Mailing Address - Fax:812-299-4447
Practice Address - Street 1:4312 S 7TH ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4301
Practice Address - Country:US
Practice Address - Phone:812-299-4443
Practice Address - Fax:812-299-4447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200950940AOtherMEDICAID WAIVER