Organization Active NPI

Dycora Transitional Health - Merrillville LLC

  • Skilled Nursing Facility
  • Merrillville, IN
National Provider Identifier
1063955524
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DYCORA TRANSITIONAL HEALTH - MERRILLVILLE LLC
Practice address
8800 Virginia PL
Merrillville, IN 46410-7109
Phone
(559) 977-3358
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Julianne Williams
Title
Executive
Phone
(559) 977-3358

Specialties & licenses 1

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

Addresses

Primary practice location

8800 Virginia PL
Merrillville, IN 46410-7109

Mailing address

8800 Virginia PL
Merrillville, IN 46410-7109

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1063955524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 VIRGINIA PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 VIRGINIA PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107109",
            "telephone_number": "559-977-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYCORA TRANSITIONAL HEALTH - MERRILLVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "559-977-3358"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.