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Bell Trace Health and Living Center

Organization Active NPI Skilled Nursing Facility · Bloomington, IN

NPI 1104074798 · NPPES record last updated Sep 8, 2008

Key facts

NPI
1104074798
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
05000937A (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 & ASSOCIATES

Authorized official

Name
Mr. Stephen Moore, M.D.
Title
Owner/Ceo
Phone
(812) 332-2265

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Bell Trace Health and Living Center (11 organizations share this tax ID)

Locations

725 N Bell Trace Cir
Bloomington, IN 47408
Phone (812) 323-2858

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 05000937A IN Yes

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

All providers in Bloomington, IN · Skilled Nursing Facility in Indiana

Sources for this page

Verify at the official NPI Registry.