Bell Trace Health and Living Center
Organization Active NPI Speech-Language Pathologist · Bloomington, IN
NPI 1093963688 · NPPES record last updated Sep 8, 2008
Key facts
- NPI
- 1093963688
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22004493A (IN)
- Legal business name
- BELL TRACE HEALTH AND LIVING CENTER
- Practice address
- 725 N Bell Trace Cir
Bloomington, IN 47408-4408 - Phone
- (812) 323-2858
- Fax
- (812) 323-2854
- NPI assigned
- Sep 8, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- CARDON & ASSOCIAES
Authorized official
- Name
- Mr. Stephen Moore, M.D.
- Title
- Owner/Ceo
- Phone
- (812) 332-2265
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Bell Trace Health and Living Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 22004493A | IN | Yes |
| Skilled Nursing Facility | 314000000X | 22004493A | IN |
Addresses
Primary practice location
725 N Bell Trace Cir
Bloomington, IN 47408-4408
Mailing address
725 N Bell Trace Cir
Bloomington, IN 47408-4408
Phone (812) 323-2858
Other providers in Bloomington, IN
- Philip S. Behn
- Rachel Mira Behrend
- Aris Beldavs
- Bell Trace Health & Living
- Bell Trace Health & Living Center
- Bell Trace Health and Living Center
- Bell Trace Health and Living Center
- Bell Trace Health and Living Center
- Bell Trace Health and Living Center
- Bell Trace Health and Living Center
All providers in Bloomington, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2008. 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.