Organization Active NPI

Klinker Therapeutic Services LLC

  • Skilled Nursing Facility
  • Monroeville, IN
National Provider Identifier
1003271826
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
34000223A Issued in IN
Legal business name
KLINKER THERAPEUTIC SERVICES LLC
Practice address
12301 Clayton Rd
Monroeville, IN 46773-9586
Phone
(260) 403-4788
NPI assigned
Dec 21, 2015
Last updated
Sep 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sandra June Klinker, MSW
Title
Licenced Clinical Social Worker
Phone
(260) 403-4788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 34000223A IN Primary

Addresses

Primary practice location

12301 Clayton Rd
Monroeville, IN 46773-9586

Mailing address

12301 Clayton Rd
Monroeville, IN 46773-9586
Phone (260) 403-4788

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1003271826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 CLAYTON RD",
            "city": "MONROEVILLE",
            "state": "IN",
            "postal_code": "467739586",
            "telephone_number": "260-403-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 CLAYTON RD",
            "city": "MONROEVILLE",
            "state": "IN",
            "postal_code": "467739586",
            "telephone_number": "260-403-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLINKER THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "KLINKER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "LICENCED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "260-403-4788",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "34000223A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.