Organization Active NPI

CFB Healthcare, Inc.

  • Skilled Nursing Facility
  • Evansville, IN
National Provider Identifier
1053558296
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
080004371 Issued in IN
Legal business name
CFB HEALTHCARE, INC.
Practice address
909 1St Ave
Evansville, IN 47710-1939
Phone
(812) 423-6214
Fax
(812) 424-9793
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Mrs. Carla Fay Baker
Title
President
Phone
(812) 423-6214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 080004371 IN Primary

Addresses

Primary practice location

909 1St Ave
Evansville, IN 47710-1939

Mailing address

909 1St Ave
Evansville, IN 47710-1939
Phone (812) 423-6214

Other identifiers 2

IdentifierTypeStateIssuer
100273770MedicaidIN
1245930001OtherINDMERC

Other names 1

  • CORE Nursing & Rehabilitation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1053558296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101939",
            "telephone_number": "812-423-6214",
            "fax_number": "812-424-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101939",
            "telephone_number": "812-423-6214",
            "fax_number": "812-424-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFB HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-423-6214",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "080004371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273770",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1245930001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORE Nursing & Rehabilitation",
            "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 Jan 9, 2009; 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.