Active NPI
Indiana Health and Rehabilitation Centers
- Skilled Nursing Facility
- Evansville, IN
National Provider Identifier
1003988700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- INDIANA HEALTH AND REHABILITATION CENTERS
- Practice address
- 25 S Boehne Camp Rd
Evansville, IN 47712-3101 - Phone
- (812) 423-7468
- Fax
- (812) 423-7568
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Jo Maassen
- Title
- Director of Compliance
- Phone
- (414) 908-8119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
25 S Boehne Camp Rd
Evansville, IN 47712-3101
Mailing address
111 W Michigan St
Milwaukee, WI 53203-2903
Phone (414) 908-8119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100267620A | Medicaid | IN |
Other names 1
- Westpark Rehabilitation Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330992000000",
"number": "1003988700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W MICHIGAN ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532032903",
"telephone_number": "414-908-8119",
"fax_number": "414-908-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 S BOEHNE CAMP RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477123101",
"telephone_number": "812-423-7468",
"fax_number": "812-423-7568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA HEALTH AND REHABILITATION CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "MAASSEN",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
"authorized_official_telephone_number": "414-908-8119"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100267620A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Westpark Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.