Indiana Health and Rehabilitation Centers
Organization Active NPI Skilled Nursing Facility · Leavenworth, IN
NPI 1083786776 · NPPES record last updated Oct 16, 2012
Key facts
- NPI
- 1083786776
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- INDIANA HEALTH AND REHABILITATION CENTERS
- Practice address
- 712 W 2ND St
Leavenworth, IN 47137-2264 - Phone
- (812) 739-2292
- Fax
- (712) 739-4756
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Donna Jo Maassen
- Title
- Director of Compliance
- Phone
- (414) 908-8119
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
712 W 2ND St
Leavenworth, IN 47137-2264
Mailing address
111 W Michigan St
Milwaukee, WI 53203-2903
Phone (414) 908-8119
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100291320A | Medicaid | IN |
Other names
- Todd-Dickey Nursing & Rehabilitation Center
Other providers in Leavenworth, IN
- Deaconess Memorial Medical Center Inc
- Extendicare Health Services
- Jill Fleace
- Harrison County Hospital
- Julie Hillenbrand Sellner
- Jasper Health Worx LLC
- Arthur Klint Kaiser
- Patricia Jo Kane
- Leavenworth Volunteer Fire Department Inc
- Jenna Leigh Lillpop
All providers in Leavenworth, IN · Skilled Nursing Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.