Hoosier Christian Village Inc.
Organization Active NPI Skilled Nursing Facility · Brownstown, IN
NPI 1104844141 · NPPES record last updated Dec 11, 2013
Key facts
- NPI
- 1104844141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 06-000277-1 (IN)
- Legal business name
- HOOSIER CHRISTIAN VILLAGE INC.
- Practice address
- 621 S Sugar St
Brownstown, IN 47220-2066 - Phone
- (812) 358-2504
- Fax
- (812) 358-2510
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Susan McGhee
- Title
- Chief Financial Officer
- Phone
- (314) 587-7903
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 06-000277-1 | IN | Yes |
Addresses
Primary practice location
621 S Sugar St
Brownstown, IN 47220-2066
Mailing address
621 S Sugar St
Brownstown, IN 47220-2066
Phone (812) 358-2504
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100290530 | Medicaid | IN |
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- Joshua Oryan Howder
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All providers in Brownstown, 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 Dec 11, 2013. 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.