Active NPI
CFB Healthcare, Inc.
- Skilled Nursing Facility
- Evansville, IN
National Provider Identifier
1053558296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 080004371
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100273770 | Medicaid | IN | |
| 1245930001 | Other | IN | DMERC |
Other names 1
- CORE Nursing & Rehabilitation
National Provider Directory
National Provider DirectoryNPI 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.