1598144040 NPI number — LAYOUS LLC

Table of content: (NPI 1598144040)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598144040 NPI number — LAYOUS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAYOUS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598144040
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 229
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCHERERVILLE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46375-0229
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
219-513-8923
Provider Business Mailing Address Fax Number:
219-513-8940

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 45TH ST
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
MUNSTER
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46321-2813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-595-5754
Provider Business Practice Location Address Fax Number:
219-595-5460
Provider Enumeration Date:
05/29/2015

Additional Information

Authorized Official

Authorized Official Last Name:
LAYOUS
Authorized Official First Name:
FADI
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO/PRESIDENT
Authorized Official Telephone Number:
219-513-8923

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X , with the licence number:  01058949 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM2500X , with the licence number: 01058949 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200525520A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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